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TREASURY DEPARTMENT 
nblic Health and Marine-Hospital Service of the United States 

PUBLIC HEALTH BULLETIN No. 45 

■V 

July, 1911 


A DIGEST OF THE LAWS AND REGULATIONS OF 
THE VARIOUS STATES RELATING TO THE 
REPORTING OF CASES OF SICKNESS 




BY 

JOHN W. TRASK 
Assistant Surgeon General 


PREPARED BY DIRECTION OF THE SURGEON GENERAL 



K 

54473 


WASHINGTON 

GOVERNMENT PRINTING OFFICE 
1911 






22900335145 




TREASURY DEPARTMENT 

Public Health and Marine-Hospital Service of the United States 


PUBLIC HEALTH BULLETIN No. 45 

July, 1911 


A DIGEST OF THE LAWS AND REGULATIONS OF 
THE VARIOUS STATES RELATING TO THE 
REPORTING OF CASES OF SICKNESS 


BY 

JOHN W. TRASK 

Assistant Surgeoti General 


PREPARED BY DIRECTION OF THE SURGEON GENERAL 



WASHINGTON 

GOVERNMENT PRINTING OFFICE 
1911 


WELLCCME tNSniUTE 
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Coll. 

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CONTENTS. 


Introduction 

Collection of reports 

State laws and regulations 

Acknowledgment 

Abstracts of the State and Territorial laws and regulations relating to the 
reporting of sickness and the health authorities to and through whom cases 

are reported 

Alabama 

Arizona 

Arkansas 

California 

Colorado 

Connecticut 

Delaware 

District of Columbia 

Florida 

Georgia 

Hawaii ; 

Idaho 

Illinois 

Indiana 

Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 

Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 

Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 

New Jersey 

New Mexico 

New York 

North Carolina 

North Dakota 

Ohio 

Oklahoma 


Page. 

5 

6 
9 

10 


11 

11 

12 

12 

13 

15 

15 

16 

17 

18 

19 

20 
21 
22 

23 

24 

25 

26 

27 

28 
29 

31 

32 

34 

35 

36 

36 

37 

38 
38 

40 

41 

42 

43 

44 

46 

47 


( 3 ) 


4 


Abstracts of the State and Territorial laws, etc. — Continued. Page. 

Oregon 49 

Pennsylvania 50 

Porto Rico 52 

Rhode Island : 52 

South Carolina 54 

South Dakota 55 

Tennessee 55 

Texas 50 

Utah 57 

Vermont 59 

Virginia 59 

Washington 60 

West Virginia 63 

Wisconsin 63 

Wyoming 64 

Features peculiar to the various State and Territorial laws 66 

'IWBLE.S. 

Diseases notifiable in each of the States and Territories 69 

Notifiable diseases and the health authorities to and through w’hom reported. . 74 

Provisions made for health authorities by State and Territorial laws and regu- 
lations 98 

APPENDIX. 

State and Territorial laws which require the reporting of cases of sickness 109 

Some court decisions having a bearing on the notification of disease 157 


A DIGEST OF THE LAWS AND REGULATIONS OF THE VARiOUS 
STATES RELATING TO THE REPORTING OF CASES OF 
SICKNESS. 


By John W. Trask, 

Assistant Surgeon General. 


Reports of sickness are a necessity in public health work. Even 
a casual consideration of the subject will show that they are the 
foundation upon which public health work depends for its success. 
Accepting the function of the health officer as being the prevention 
of disease, a knowledge of the prevalence and geographic distribution 
of the preventable diseases within his jurisdiction is essential to his 
work. This knowledge is possible only in so far as cases of sickness 
are reported. 

As our knowledge of pathology and epidemiology increases, addi- 
tions are being constantly made to the diseases classed as preventable. 
It has long been recognized that certain of the more common con- 
tagious diseases, such as smallpox, scarlet fever, diphtheria, and 
measles should be reported, that proper restraint, isolation, or other 
indicated measures may be enforced for the protection of the com- 
munity, or the public warned of possible danger. A community 
which has no means of knowing with what contagious diseases it is 
afflicted nor how many cases there are, nor where they are, is helpless 
to protect itself, and unnecessary sickness and deaths will result. 
Generally speaking, every case of an infectious disease is a focus 
from which other cases may directly or indirectly arise unless measures 
are taken to prevent them. Every typhoid-fever patient has potential 
possibilities for harm through the contamination of water and food 
supplies, which may be so far-reaching that it is but proper that 
cognizance be taken of each case. The same is true of tuberculosis, 
with the exception that its manner of spread is somewhat different. 
The majority of cases of this disease receive their infection from some 
existing human case. The disease is more or less chronic in character 
and the patient usually continues as a focus from which infection may 
be spread for months and sometimes years. If tuberculosis, which 
has so sorely affected mankind, is to be made a constantly dimin- 
ishing factor as a cause of unnecessary sickness and premature death, 

( 5 ) 


6 


the location and activities of those affected must be known that the}^ 
may be properly instructed how to conduct themselves that others 
may not be unduly endangered, that they may learn the ethical code 
to which the tuberculous should conform, and that its observance- 
may be made as effective and easy as present knowledge can make it. 
Yellow fever is a disease of quite another type, spread in an entirely 
different way, but the importance of having each case reported at the 
earliest possible time has made a profound impression, and deservedly 
so, upon those living in infectible territory. And yet the ravages of 
this disease by sickness and death, while more striking perhaps, are 
no greater than those of some other diseases which are more con- 
stantly present and which very probably might be as effectively 
curtailed if as strenuouslv combated. 

The above-named diseases serve as a few commonplace examples 
to illustrate the fundamental need for the reporting of the preventable 
diseases. The general statement may be made, it is believed, that 
in order to prevent the undue spread of the infectious diseases of man 
it is necessary that existing cases be reported to some authority 
with power and facilities to take such measures as are necessary to 
prevent the spread of the infection to others; also that the reporting 
of cases is the only generally reliable means a community has of 
knowing when unusual disease conditions or epidemics exist, and 
when, therefore, greater effort must be made for protection. The 
reporting of all cases of certain diseases occurring on water sheds is 
necessary for the proper protection of water supplies. The reporting 
of all cases of sickness possible of spread through milk when they occur 
at places where milk is produced, handled, or distributed, is essential 
to prevent epidemics of milk-borne disease. 

Whenever it is desired to make a careful study of the cause of an 
epidemic, or of an unusual prevalence of a disease, the first step is to 
study the known cases to find the factors which have been operative 
in spreading the infection. Better results would undoubtedly be 
attained if, instead of unusual conditions being necessary as an 
incentive to epidemiological studies, every health authority had the 
means for constantly studying the movements of disease within his 
jurisdiction, the exacerbation and decline of sickness, the factors 
operative in the causation of disease, the best methods of prevention, 
and the times when special effort is necessary or most effective. 

COLLECTION OF REPORTS. 

The regulation of the reporting of sickness comes within the police 
powers of the individual States. As the sanitary condition of a 
State affects not only the inhabitants of the State itself, but, because 
of interstate commercial relations made easy by good roads and rapid 
transit, affects neighboring States, and even those more remote. 


7 


it would seem that it might reasonably be considered as having 
become the duty as well as the privilege of the individual States to 
meet the responsibility to such a degree at least as will guarantee a 
reasonable protection to other States. The minimum which would 
appear to serve this purpose would ho that each State take measures 
to keep itself informed as to the prevalence and geographic distri- 
bution of the communicable diseases within its territory and make 
this information available at frequent intervals to those interested. 

A State board or department of health, to be responsible for the 
local enforcement of State laws, must be represented locally by 
officials over which it has not only nominal but some actual super- 
vision. This end has been accomplished in various ways. Some 
States (^lassachusetts and Pennsylvania) have divided the State into 
health districts and placed a State representative in each. In Pennsyl- 
vania the county has practically been made the district. In Florida 
agents of the State board are employed in most of the counties. 
This gives the State board or department a representative, to a cer- 
tain extent local in character. In Pennsylvania the actual local 
authority of the State has been carried still further, and all townships 
in which no township board of health has been organized are placed 
under employees of the State department of health, who act as local 
health officers. The State law requires incorporated municipalities 
and townships having a certain density of population (300 to the 
square mile) to organize local boards of health. All townships 
not so supplied, which in a way represent the strictly rural territory, 
are under the dffiect and immediate control of the State department 
of health. 

In certain of the States a partial control over local boards has been 
obtained by the State authorities appointing a majority of the mem- 
bers of each local board. In Virginia the State board appoints three 
of the four members of each county and city board of health, and one 
of the three so appointed becomes the local health officer. In South 
Dakota the State board appointe two of the three members of each 
county board of health, but takes no part in the appointment of city 
boards. In West Virginia the State board appoints three of the five 
members of each county and city board of health; the three so ap- 
pointed are nominated, however, by the county court in the case of 
counties and the council in cities. In Oklahoma the State commis- 
sioner of health appoints a county superintendent of health for each 
county. In Vermont the State board appoints a health officer for each 
towm (township). In Wyoming the State board appoints the county 
health officers. 

The health officer s knowledge of the prevalence or course of dis- 
ease depends mainly upon reports made by physicians, the part 
played by the practicing physician being the most important factor 


B 


in securing reports of sickness. Physicians have not always been 
prompt in doing their part. It would seem, however, that if they are 
to avoid the unjust criticism of not being interested in prophylaxis, 
they must espouse the cause of preventive medicine and become, by 
virtue of their humanitarian calling, ex officio assistants of the health 
authorities. This idea appears to have been instrumental in shaping 
certain of the State laws. In Alabama the Medical Association of 
the State of Alabama constitutes the State board of health, and elects 
the State health officer. The county medical society constitutes a 
board of health for the county, and elects the county health officer 
and health officers for each incorporated municipality. In Mississippi 
the State medical association and all medical societies in affiliation 
with it constitute the State department of health, and any licensed 
practitioner of medicine may have his name enrolled as a member of 
the department. In North Carolina all registered physicians in each 
county constitute an auxiliary board of health for the county, the 
function of this board being to advise the county authorities on 
sanitary matters. In South Carolina the State board of health con- 
sists of the South Carolina Medical Association together with certain 
of the State officials. 

Aside, however, from a consideration of the subject on a profes- 
sional ethical basis, most physicians, because of their position as 
citizens, would without doubt desire to conform to the law once it 
had occurred to them that failure to do so placed them outside the 
class of law-abiding citizens. It would seem that where the State 
issues licenses, permitting the practice of medicine, one of the most 
reasonable penalties which it might be expected to impose upon phy- 
sicians who did not comply with the laws, would be the suspension or 
revocation of the hcense. It is believed that a considerable per- 
centage of those who do not now feel under moral obligation to care- 
fully and accurately report all cases required by law would do so if 
it were made plain that the license was granted on condition that the 
recipient agreed to familiarize himse’lf with State laws relating to the 
public health and to obey them, and that the license would be con- 
sidered valid only so long as these conditions were fulfilled. 

This has been enacted into law in Utah, where it is required that 
whenever any licensed practitioner of medicine is guilty of willful 
violation of the law in regard to the reporting of infectious diseases 
or the registration of births and deaths his license shall be revoked 
or canceled. (Utah Compiled Laws, 1907, sec. 1735-36 as amended 
by Acts of 1911, ch. 93.) 

The question naturally arises as to which diseases should be made 
notifiable. Opinion in the past seems to have differed considerably. 
The number required to be reported varies from 33 in Pennsylvania 
to none at all in four States. There would seem to be decided 




9 


advantages in making notifiable all preventable diseases, and that these 
might be considered to include infectious diseases, certain parasitic 
diseases, occupation diseases, and certain diseases due to damaged or 
improper food. 

The greatest need of reports of sickness, and their most important 
use, are for the immediate information of the health officer, that he 
may take such measures as are known to medical science to protect 
the family of the patient and the community from further and unnec- 
essaiy infection or additional injury, or at least instruct them as to 
how this can be done. However, reports of sickness when compiled 
and classified become morbidity statistics which show the movement 
of disease, the progression, extension, recession, and periodicity of epi- 
demics, and the effects upon disease of preventive measures and 
sanitary improvements. 

The reporting of sickness is the foundation upon which the study 
of epidemiology necessarily rests, a study which will without doubt 
add much to existing knowledge of disease. 

STATE LAWS AND REGULATIONS. 

The laws and regulations of the various States relating to the re- 
porting of sickness, and to the health authorities to and through 
whom the reports of cases are made, briefly abstracted and analyzed 
in tabular form, will be found on succeeding pages. It is desired to 
emphasize that these represent the requirements of State statutes and 
of regulations promulgated in accordance with the statutes, and are 
not to be understood as showing in all cases the work that is done, 
owing to the impossibility of enforcement of the provisions under 
existing conditions in some of the States. For some purposes it 
would have been better to have shown the measures being enforced 
and the extent of their enforcement, but for reasons which will be 
readily understood this was impossible. 

There is considerable variation in the different States as to the 
authority to whom reports are made. The simplest and least com- 
mon is where the physician makes the report direct to the State 
board or department of health. The most common is for the physi- 
cian to report to the city health authority, if in a city, and to the 
township or county authority if outside of cities, and for the city 
and township or county authorities to report to the State depart- 
ment or board. In some States a third step is inserted and the local 
authorities report to the county health officer who in turn reports 
to the State. Various modifications of these schemes are also used, 
as will be seen by consulting the tables. The effort seems to have 
been made in most cases to have the physician report to the 
authority who would be benefited by the information and would 
take whatever action was necessary or possible. 


10 


The time when reports are to be made also varies. It is usually 
required that the physician make an immediate report; in some 
cases it is specified to be made within 12 or 24 hours, in others 
weekly, and in still others at the end of the month. Also varying 
requirements are made as to when the city, township, and county 
authorities shall report to the State. In some States these reports 
are made daily, in some weekly, in others semimonthly or monthly, 
in a few quarterly, annually, or not at all ; in one or two weekly and 
also for the fraction of a week at the end of the month. 

The variation in the laws and regulations of the States as to the 
manner and time of reporting, and the authorities to whom the 
reports are made, is such that the only method of satisfactorily show- 
ing the details seemed to be a tabular statement where the scheme 
adopted in each State could be shown. (See pp. 74 to 97, inclusive.) 

The features peculiar to the various State laws have been noted by 
themselves as being of possible interest, and will be found on pages 
66 to 68, inclusive. 

A table showing the diseases required to be reported in each State 
will be found on ])ages 69 to 73. 

ACKNOWLEDGMENT. 

A copy of the proof of this publication was sent to the State health 
officer or secretary of the State board of health of each of the several 
States for criticism, and the indication of errors or omissions which 
might be noted. Replies containing helpful suggestions and in many 
instances corrections and additions were received from practically 
all. Many also went to great pains to forward copies of regulations 
and recently enacted laws. 

It is a pleasure to acknowledge the assistance and cooperation of 
those who thus made possible a work which it is trusted will be 
found useful in making the various State requirements for the report- 
ing of sickness easily accessible. 




ABSTRACTS OF THE STATE AHD TERRITORIAL LAWS AND 
REGULATIONS RELATING TO THE REPORTING OF SICKNESS 
AND THE HEALTH AUTHORITIES TO AND THROUGH WHOM 
CASES ARE REPORTED. 


ALABAMA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The Medical Association of the State of Alabama is the 
State board of health, and elects an executive officer, Imowii as the 
State health officer. (Political Code of 1907, ch. 22, Art. I.) 

Counties. — The county medical societies in affiliation with the 
Medical Association of the State of Alabama are boards of health for 
their respective counties, and for all incorporated towns and cities 
therein, and are under the general supervision of the State board of 
health. The county board of health is the only local board of 
health. Others are prohibited. The county board elects a county 
health officer, and a health officer for every incorporated city and 
town in the county. (Ibid.) 

MORBIDITY REPORTS. 

Notifiable diseases. — Leprosy, cholera, typhus fever, cerebro-spinal 
meningitis, yellow fever, scarlet fever, plague, hydrophobia, glanders, 
smallpox, diphtheria, pulmonary tuberculosis, typhoid fever, chagres 
fever, beriberi. (Ibid., sec. 716.) 

Physicians, etc. — Physicians are required to report cases of the 
above-named diseases occurring in their practice to the local health 
officer. (Ibid., sec. 714.) Midwives and other persons are to report 
in like manner suspected cases. (Ibid., sec. 715.) 

Municipal health ofiicers. — Municipal health officers are required to 
keep a Register of infectious diseases,’’ in which are recorded the 
name, age, sex, color, race, occupation, and residence of persons 
attacked by the above-named diseases. The presence of any of 
these diseases is to be reported promptly to the committee of public 
health of the county board of health and to the State health officer. 
(Ibid., sec. 710.) 

County health ofiicers. — County health officers also keep a Register 
of infectious diseases,” in which are recorded cases reported to tliem. 
They are required to report to the State health officer the presence of 
any of the reportable diseases in their respective counties. (Ibid., 
sec. 706.) 


( 11 ) 


ARIZONA. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

Territory . — The governor appoints a superintendent of public health, 
who, together with the governor and the attorney general, constitutes 
the Territorial board of health. (Acts of 1903, ch. 65.) 

Counties . — The board of supervisors of the county appoints a 
superintendent of public health, who, with the chairman of the board 
of supervisors and the district attorney of the county, constitutes a 
county board of health, having jurisdiction outside of cities possessing 
a board of health. (Ibid.) 

Cities . — The mayor of each city appoints two members of the city 
council, who, together with the city engineer and the health officer, 
constitute the city board of health. (Ibid.) 

MORBIDITY REPORTS. 

Physicians, etc . — Physicians and other persons are required to report 
immediately to the local board of health all cases of contagious, 
epidemic, or infectious diseases coming to their knowledge. (Acts of 
1903, ch. 65, sec. 24.) 

Keepers of private houses, boarding houses, lodging houses, inns, 
or hotels are required to report within 24 hours to the local board of 
health cases of contagious, infectious, or epidemic disease wliich may 
occur in their houses, inns, or hotels. (Ibid., sec. 26.) 

Local hoards of health . — It is the duty of the local boards of health 
whenever it comes to their knowledge that a case of smallpox, scarlet 
fever, diphtheria, or other infectious or contagious disease exists 
within their iurisdiction, to report immediately to the Territorial 
board of health the existence and nature of such disease. (Ibid., 
sec. 31.) 

The county superintendent of health is to report immediately to the 
Territorial superintendent of health whenever any case of contagious 
or infectious disease occurs in liis county. (Ibid., sec. 7.) 

ARKANSAS. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — The State board of health consists of six commissioners of 
health appointed by the governor. The majority of the board con- 
sists of physicians. (Digest of Statutes, 19P4, Kirby, sec. 534.) The 
board elects from its personnel or otherwise a person to be secretary 
and executive officer. (Ibid., sec. 536.) 

Counties . — The several county judges may appoint county boards 
of health for their respective counties, these boards to be composed of 
three physicians. (Ibid., sec. 546.) 

Cities . — In cities of the first (population over 5,000) and second 
(population between 2,500 and 5,000) classes the city council has the 
power to establish a board of health with jurisdiction extending 1 
mile beyond the city limits, and for quarantine purposes, in case of 
epidemic, 5 miles. (Ibid., sec. 5525.) 


13 


MORBIDITY REPORTS. 

The law states that it shall be the duty of the State board of health 
to have general supervision of the State system of the registration of 
prevalent diseases, and that the board shall prepare the necessary 
methods and forms for obtaining and preserving such records and to 
insure the faithful registration of the same in the several counties. 
The secretary of the State board of health is the superintendent of 
registration of vital statistics of the State. (Ibid., sec. 540.) 

CAIilFORNIA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — There is a board of health consisting of seven physicians 
appointed by the governor. (Political Code, 1909, Deering, sec. 
2978.) 

Counties. — The boards of supervisors in their respective counties 
appoint a health officer whose duty it is to enforce the orders of the 
board of supervisors and the State board of health. When public 
necessity requires, the board of supervisors may appoint a special 
health officer for any unincorporated town. (Ibid., sec. 4225.) 

San Francisco: The board of health consists of the mayor of the 
city and county, and four physicians appointed by the governor. 
This board elects a health officer. (Ibid., secs. 3005, 3007.) 

Sacramento: The board of trustees has established by ordinance 
a board of health, consisting of five physicians. (Ibid., sec. 3042.) 

Cities of the first class: Cities having over 200,000 inhabitants are 
termed cities of the first class. Those having between 100,000 and 
200,000 are cities of the first and a half class. These cities are 

entitled the city of — , or the city and county of , as the 

case may be, and are required to have a board of health consisting 
of the mayor of the city, or the city and county, and five physicians 
appointed by the governor. (General Laws, California, 1910, Bender- 
Moss Co., Act No. 2348, sec. 165.) 

Cities and towns: It is the duty of the board of trustees, council, 
or other corresponding board, of every incorporated town and city, 
to establish by ordinance a board of health for the town or city, 
consisting of five persons, one at least of whom shall be a physician, 
and one, if practicable, a civil engineer. (Political Code, 1909, 
Deering, sec. 3061.) 

The board of supervisors for each county must appoint in each 
unincorporated city and town having 500 or more inhabitants, a 
health officer. (Ibid., sec. 3062.) The county board of supervisors 
may appoint a special health officer for unincorporated towns when 
public necessity requires. (Ibid., sec. 4225.) 

MORBIDITY REPORTS. 

Nfiifiahle diseases. — Cholera, plague, yellow fever, leprosy, diph- 
theria, scarlet fever, smallpox, typhus fever, typhoid fever, anthrax, 
glanders, epidemic cerebro-spinal meningitis, tuberculosis, pneu- 
monia, dysentery, erysipelas, uncinariasis (or hookworm), trachoma, 
dengue, tetanus, measles, German measles, chickenpox, whooping 
cough, mumps, pellagra, beriberi, syphilis, gonococcus infection, 


14 


rabies, poliomyelitis. (Ibid., sec. 2979a, as amended by sec. 1, 
ch. 250, Laws 1911.) 

_ Physicians. It is the duty of every attending or consulting piiysi- 
cmn, nurse or other person having charge of or caring for any person 
afflicted with any of the above-named diseases to report at once in 
writing to the local board of health or health officer the nature of 
the disease and name and residence of patient excepting that syphilis 
and gonococcus infection are to be reported by office number only. 
(Ibid.) 

The public-health la^w of 1907 requires that physicians, nurses, 
clergymen, attendants, o\mers, proprietors, managers, employees, 
and persons living in or visiting any sick person in any hotel, lodging 
house, house, building, office, structure or other place where any 
person is ill of any infectious, contagious, or communicable disease, 
promptly report such fact to the city, city and county, or other local 
health board or health officer, giving the name of the person, if known, 
the place where such person is confined, and the nature of the disease. 
(Acts of 1907, ch. 492, sec. 16.) 

Medical practitioners attending or called in to visit a patient, 
whorn he believes to be suffering from poisoning by lead, phosphorus, 
arsenic, or mercury, or their compounds, or from anthrax, or from 
compressed-air illness, contracted as a result of the nature of the 
patient’s employment, are required to send to the State board of 
health a notice stating the name, address, and place of employment 
of the patient and name of the disease, and for this report the prac- 
titioner is entitled to a fee of 50 cents. (The State board of health 
is to transmit the data thus obtained to the State commissioner of 
the bureau of labor statistics.) (Acts of 1911, ch. 485, secs. 1 and 3.) 

Local health authorities . — It is the duty of every coroner, local 
health officer, and every member of the local boards of health, to 
report at once in vTiting cases of the above-named diseases and of 
any other contagious or infectious disease to the secretary of the 
State board of health. (Political Code, sec. 2979a, as amended by 
sec. 1, ch. 250, Acts of 1911.) 

Every county health officer, and every city and county, city or 
town board of health, or chief executive health officer, is to report 
in writing to the State board of health on or before the 5th day of 
each month, and also whenever requested by the State board of health 
or its secretary all infectious, contagious, and communicable diseases 
in man or beast which come to his knowledge, the report to be made 
on blanks furnished by the State board of health. (Acts of 1907, 
ch. 492, sec. 11.) 

Local boards of health or health officers are to report immediately 
by telegraph to the secretary of the State board of health every case 
of plague, Asiatic cholera, yellow fever, or typhus fever, and after 
investigation and within 24 hours are to further report the cause, 
source, and extent of the infection and the measures adopted in each 
case. (Acts of 1907, sec. 13, ch. 492, as amended by sec. 3, ch. 339, 
Acts of 1911.) 

In addition to the diseases previously enumerated, cases of malaria 
are to be promptly reported to the State board of health, (Ibid.) 


15 


COLORADO. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The law provides for a State board of health of nine mem- 
bers, appointed by the governor. (Rev. Stat., 1908, ch. 115, sec. 
5009.) 

Counties. — The board of county commissioners of each county con- 
stitutes a board of health for the county with jurisdiction outside of 
cities, towns, and villages. The board appoints a health officer. 
(Ibid., sec. 5030.) 

Incorporated cities and towns. — The mayor and council or trustees 
of each incorporated city and town constitute a board of health for 
the city or town. The board appoints a health officer. (Ibid., secs. 
5031, 5032.) 

MORBIDITY REPORTS. 

Householders. — Wlienever a householder knows that a person within 
his family is ill with smallpox or any other disease dangerous to the 
public health, he is required to report the case to the local (city or 
county) health officer immediately. (Ibid., sec. 5070.) 

Physicians. — Physicians must report immediately to the local 
board of health all cases of smallpox, cholera, diphtheria, scarlet fever, 
or other disease dangerous to the public health occurring in their 
practice. They must also report the case to the householder, hotel 
keeper, keeper of a boarding house or tenant within whose house or 
rooms the sick person happens to be. The notice to the board of 
health must state the name of the disease, the age and sex of the 
person sick, the address of the patient, and the name of the physician 
giving the notice. (Ibid., sec. 5072.) 

Local hoards of health. — City and county health officers are required 
by law to keep the secretary of the State board of health constantly 
informed respecting every outbreak of a disease dangerous to the 
public health. (Ibid., sec. 5073.) 

CONNECTICUT. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The law provides for a State board of health of seven mem- 
bers, six appointed by the governor, of whom three must be physi- 
cians, and one a lawyer, and a secretary chosen by the six so ap- 
pointed.^ (General Statutes, 1902, sec. 2502.) 

Counties. — The judges of the superior court appoint an attorney at 
law to be health officer for each county. (Ibid., sec. 2517.) 

Towns {townships). — The county health officer appoints a person 
learned in medical and sanitary science to be health officer for each 
town, except in towns containing a city or borough whose limits are 
coterminous with the town limits. In towns containing a city or 
borough, whose limits are not coterminous with those of the town, the 
town health officer has jurisdiction in the town only outside of the 
limits of the contained city or borough. (Ibid., sec. 2521.) 

Cities and boroughs.— The mayor of every city, and the warden of 
every borough is required to appoint a person learned in medical and 
sanitary science to be health officer for the city or borough, unless the 
charter of the city or borough makes other provision for the appoint- 
ment of a health officer. (Public Acts, 1905, ch. 15.) 


16 


MORBIDITY REPORTS. 

Physicians. — Physicians are required to report in writing every 
case^ of cholera, yellow fever, typhus fever, leprosy, smallpox, diph- 
theria, membranous croup, typhoid fever, scarlet fever, or of otiier 
contagious or infectious disease, except those of a venereal nature, 
occurring in their practice, to the health officer of the town, city, or 
borough in which the case occurs, within 12 hours after the nature 
of the disease has been recognized. (Connecticut General Statutes, 
1902, title 15, ch. 150, sec. 2534.) Physicians are required to report 
in writing the name, age, sex, color, occupation, place where last 
employed, and address of all cases of tuberculosis in their practice to 
the health officer of the city, town, or borough within 24 hours. 
(Public Acts, 1909, ch. 79, sec. 1.) 

The secretary of the State board of health states that, m addition 
to the State laws and regulations, uniform sanitary regulations have 
been adopted by all the toA\Tis (townships) in the State which require 
that physicians shall report m writing to the town health officer 
within 12 hours every case of cerebro-spinal fever, whooping cough, 
and measles, in addition to the diseases above named, and that when 
no physician is in attendance householders are to report cases occur- 
ring in their houses. 

Hotel and lodging house heepers. — Hotel and lodging house keepers 
are required to report to the local board of health within 12 hours 
cases of malignant or contagious disease occurring in their houses. 
(General Statutes, 1902, sec. 254G.) 

Midwives, nurses, etc. — The midwife, nurse, or attendant having 
charge of an infant under two weeks of age is to report in writing within 
six hours to the local health officer whenever the infant’s eyes become 
reddened, inflamed, or swollen. (Ibid., sec. 2535.) 

Institutions. — Officers in charge of hospitals, dispensaries, asylums, 
and other similar institutions, are required to report cases of tuber- 
culosis coming under their care or observation to the local health 
officer within 24 hours in the same manner as practicing physicians. 
(Public Acts, 1909, ch. 79, sec. 1.) 

Local health officers. — When in any town, city, or borough, a case 
of smallpox, cholera, or any epidemic of infectious disease is known to 
exist, the local health officer is required to immediately notify the 
secretary of the State board of health of the existence of the same. 
(General Statutes, 1902, sec. 2508.) 

The health officer of every town, city, and borough is required to 
make a report to the State board of health on or before the 8th day 
of each month of all contagious diseases reported to him during the 
preceding month. (Ibid., sec. 2532.) 

Local health officers report to the commissioner of domestic ani- 
mals cases of rabies within 24 hours after receiving information of 
such cases. (Public Acts, 1907, ch. 170, sec. 1.) 

DELAWARE. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY" REPORTS. 

State. — Tlie law provides for a State board of health of seven phy- 
sicians appointed by the governor. They elect a secretary who may 


17 


be a member of the board. (Laws of Delaware, vol. 19, ch. 642, 
sec. 1; also Rev. Stat., 1893, p. 296.)' 

Counties. — The governor appoints three physicians in each county 
to be health officers of the county. (Rev. Stat., 1893, ch. 46, p. 362.) 

Cities.— It is the duty of the common council of every city and the 
commissioners of every incorporated town to appoint a board of 
health for the city or town of not less than three ^ nor more than 
seven members, of whom at least one shall be a physician. (Delaware 
Laws, vol. 16, ch. 345, sec. 1; also Rev. Stat., 1893, p. 298.) 

MORBIDITY REPORTS. 

Physicians, etc. — Physicians, dentists, veterinary surgeons, or 
others practicing medicine or surgery or any branch thereof are 
required to give prompt notice to the local or State board of health 
of any and all cases of contagious or infectious diseases that come ‘ * 
under their professional notice. (Acts of 1899, ch. 240, sec. 4, and 
Acts of 1903, ch. 327, sec. 6.) 

Any physician or other person having knowledge of a case of dis- 
ease dangerous to the public health wliich the State board of health 
requires to be reported is required to report the name, age, sex, and 
color of the patient and the place where the patient may be found 
to the health authority nearest to his place of residence. (Acts of 
1903, ch. 328, sec. 3.) ^ 

Local health authorities. — It is the duty of the local boards of health 
to report to the State board of health the existence of any case of 
infectious or contagious disease wliich may come under their observa- 
tion. (Acts of 1903, ch. 327, sec. 6.) 

« 

DISTRICT OF COLUMBIA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

District. — The Commissioners of the District appoint a physician 
as health officer. (20 Stat. L., p. 107; 1 Sup. R. S., 2d ed., p. 179.) 

MORBIDITY REPORTS. 

Notifiable diseases. — (1) Asiatic cholera, (2) yellow fever, (3) typhus 
fever, (4) smallpox, (5) leprosy, (6) the plague, and (7) glanders (29 
Stat. L., p. 635), (8) diphtheria, (9) scarlet fever, (10) measles, (11) 
whooping cough, (12) chicken pox, (13) epidemic cerebro-spinal 
meningitis, and (14) typhoid fever (34 Stat. L., p. 889), (15) tuber- 
culosis (35 Stat. L., pt. 1, ch. 165, p. 126). 

Physicians or persons in charge. — Physicians or persons in charge 
of cases shall report immediately to the health officer cases of the 
diseases (1 to 7) enumerated above, giving the name of the disease, 
name, age, sex, and color of the person suffering therefrom, and 
address where located. (29 Stat. L., p. 635.) 

Physician, head of family, etc. — Every person in charge of any 
patient suffering from any of the diseases (8 to 14) enumerated 
above, is required to send to the health officer a signed certificate 
written in ink, stating the name of the disease, the name, age, sex, 
93321°— 11 2 


18 


and color of the pereon suffering therefrom, the school attended, and 
the address where the patient can be found. When the patient 
recovers or dies, the person in charge is required to send to the health 
officer as soon as possible an ink-written certificate of the fact. 

The term ^‘person in charge^’ is held to mean, first, each physician 
in attendance, and in the absence or default of the physician, then, 
second, the head of the family to wliich the patient belongs; third, 
the nearest relative present on the premises, and fourth, every person 
in attendance. (34 Stat. L., p. 889.) 

Poliomyelitis is to be reported in the same manner as the above- 
named diseases 8 to 14, and, in addition, when the temperature of 
the patient returns to normal, or if it has not been above normal, the 
fact is to be reported. (Regulations, Commissioners of the District 
of Columbia, May 3, 1911.) 

Officers having charge of hospitals, dispensaries, asylums, and 
similar institutions and physicians are required to report to the 
health officer cases of pulmonary or other communicable form of 
tuberculosis witliin one week after the disease is recognized. (35 
Stat. L., pt. 1, p. 126.) 

Midwives, nurses, etc . — Whenever any midwife, or any person other 
than a registered physician, is in attendance upon a case of child- 
birth, and the newly born child has inflammation of the eyes, 
attended by a discharge therefrom, said midwife or other person 
is required to report the fact in writing to the health officer, so 
that tlie report sliall be received by the health officer within the six 
hours after the existence of the discharge becomes known. (Regu- 
lation, Aug. 25, 1911.) 

FnOllIDA. 

» 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — There is a State board of health of three members appointed 
by the governor. Tliis board designates and employs a physician as 
State health officer, who is also the board’s executive officer and sec- 
retary. (General Statutes, 1906, secs. 1109, 1112.) 

Counties . — The State board of health is given power to make rules 
and regulations for the preservation of the public health (General 
Statutes, 1906, sec. 1120), and the supervision and regulation of 
municipal and county sanitation. (Laws of 1909, ch. 5931, sec. 1.) 
The State health officer is authorized to employ suitable persons to 
serve as county sanitary agents, or special agents, or in such other 
capacities as may be necessary to carry out the powers and duties of 
the State board of health. (Rule 34, Florida State board of health.) 
Up to June 12, 1911, there had been 41 agents appointed in 39 
counties. (The State contains 47 counties.) Thirty-four counties 
had 1 agent each, 3 counties 2 agents each, and 1 agent served for 2 
counties. (State health officer, June 12, 1911.) 

Note. — Charters granted to cities by the legislature usually make 
provision*for city health officers. 

MORBIDITY REPORTS. 

Physicians . — It is the duty of physicians to report immediately to 
the president of the State board of health by telegram, or in the most 
expeditious manner, every case of yellow fever, smallpox, or cholera 


19 


that comes within his practice, the telegram to be paid for by the 
State. (General Statutes, 1906, sec. 1114.) Immediate report to be 
made also to the city health officer or mayor or the county physician 
or chairman of the county commissioners. (Ibid., sec. 1146.) 

It is also the duty of physicians to report immediately to the State 
health officer or to an agent of the State board of health, by first mail, 
every case of diphtheria, leprosy, or scarlet fever which he may be 
called to attend. Where there is no physician in attendance upon 
such a case, it is the duty of any person having charge of, or in attend- 
ance upon, or upon whose premises the case occurs, to report in the 
same manner as required of physicians. (Rules and regulations of 
State board of health, 1904, rule 28.) 

The State board of health in annual session in Februpy, 1911, 
revised the rules and regulations of the board, and it is believed that 
they will be approved finally and made effective in February, 1912.^ 
Rule 1 relating to the reporting of cases of sickness, as revised, reads: 

Rule 1. Reports of communicable diseases. — It shall be the duty 
of every physician in the State of Florida to report immediately to 
the State health officer or to a representative of the State board of 
health, by first mail, every case of scarlet fever, diphtheria, measles, 
cerebro-spinal meningitis, anterior poliomyelitis, bubonic plague, 
glanders, anthrax, rabies, or leprosy, which occurs within his practice 
or which he may be called to attend. (Yellow fever, smallpox, and 
cholera are to be reported by telegram, charges collect. See section 
1114, General Statutes, 1906. All other diseases should be reported 
by first mail, or by paid telegram.) Where there is no physician in 
attendance upon any case of the diseases herein mentioned, it shall 
be the duty of any person having charge of or in attendance upon, or 
upon whose premises a case of such diseases is suspected to exist, to 
report the same in the manner herein provided. 

GEORGIA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS 

State . — The law makes provision for a State board of health of 12 
members, 11 of whom shall be physicians, apjiointed by the governor, 
the twelfth being the secretary. (Acts of 1903, No. 453, sec. 1.) 

Counties . — The authorities of each county are authorized and 
requested to establish a board of health, and appoint a health officer, 
the board to have jurisdiction outside of municipalities. (Regula- 
tions, State board of health, 1904, secs. 46, 50.) 

Cities . — The council of each incorporated city and town is author- 
ized and requested to establish a board of health and elect a health 
officer (Regulations State board of health, 1904, secs. 46, 48.) 

Gnincorporated cities and towns are put under the supervision of 
the county boards of health. (Regulations, State board of health, 
1904, sec. 46.) ' 

In case a city or county fails to establish a board of health, the State 
board of health may appoint a health officer for the city or county 
(Regulations, State board of health, 1904, sec. 46.) 


1 Letter of State health officer, Oct. 30, 1911. 


20 


MORBIDITY REPORTS. 

Notifiable diseases. — The State board of health has declared the 
following-named diseases to be dangerous to the public health: 
Smallpox, Asiatic cholera, yellow fever, typhus fever, scarlet fever, 
diphtheria, and membranous croup. (Regulations, State board of 
health, 1904, sec. 9.) 

Physicians, etc. — Physicians, householders, heads of families, county 
or municipal authorities aware of the existence of any of the above- 
named diseases are required to report them immediately to the local 
board of health or its proper officer. (Regulations, State board of 
health, 1904, sec. 9.) 

Local hoards of health . — It is the duty of local boards of health and 
of physicians in localities where there are no health authorities to 
report promptly to the State board of health the discovery of any of 
the following-named diseases: Asiatic cholera, yellow fever, scarlet 
fever, smallpox, diphtheria, typhus fever, typhoid fever, and such 
other contagious or infectious diseases, as the State board of health 
may from time to time specify. (Acts of 1903, No. 453, sec. 5.) 

County and municipal health officers are required to keep a record 
of all cases of contagious or infectious diseases reported to them. 
(Regulations State board of health, 1904, sec. 49.) 

HAWAII. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

Territory. — Provision is made for a Territorial board of health con- 
sisting of seven members appointed by the governor, four to be lay- 
men, two physicians, and the seventh to be the attorney general. 
All the members serve without pay except the president of tlie board. 
(Revised Laws, 1905, sec. 988.) 

The board of health may appoint suitable agents in such localities 
as it may deem necessary to carry into effect all regulations for the 
public health. (Ibid., sec. 990.) 

MORBIDITY REPORTS. 

Notifiable diseases. — Cerebro-spinal meningitis, Asiatic cholera, 
follicular conjunctivitis, diphtheria, amoebic dysentery, typhoid fever, 
paratyphoid lever, leprosy, measles, dengue, poliomyelitis, whooping 
cough, plague, scarlet fever, tetanus, trachoma, tuberculosis, typhus 
fever, chicken pox, smallpox, yellow fever, or any other infectious or 
communicable disease, or disease dangerous to the public health. 
(Ibid., secs. 1004, 1005, 1005A, as amended bylaws of 1911, act 125.) 

Physicians. — Physicians are required to report immediately to 
the board of health or its nearest agent in writing cases of the above- 
named notifiable diseases, or of any other infectious or communica- 
ble disease, or disease dangerous to the public health. In ‘addition 
to the written report, cases of smallpox, scarlet fever, diphtheria, 
plague, cholera, yellow fever, typhus fever, cerebro-spinal meningi- 
tis, and amoebic dysenteiy are to be reported immediately by tele- 
phone or direct oral communication. The recovery of cases of tuber- 


21 


ciilosis is also to be reported. (Ibid., sec. 1004, as amended by laws 
of 1911, act 125. Also laws of 1911, act 118, secs. 7 and 15.) 

Institutions. — Superintendents m charge of hospitals, dispensa- 
ries, asylums, or other similar private or public institutions are to 
report to the board of health or its nearest agpt within 24 houm, 
giving the name, age, sex, nationality, occupation, place where last 
employed, if known, and previous address of every patient haying 
tuberculosis who comes into their care or under their observation. 
(Laws of 1911, act 118, sec. 7.) 

Householders, etc. — Householders, keepers of boarding and lodging 
houses, and masters of vessels are to report immediately to the board 
of health or its nearest agent any person in or about their respective 
houses or vessels whom they believe to be sick with a notifiable dis- 
ease. Police officers are also to report immediately to the board of 
health or its nearest agent cases of the notffiable diseases coming 
under their observation. (Ibid., sec. 1005, as amended by laws of 
1911, act 125, sec. 2.) 

Every person. — It is the duty of every person to report to the 
board of health or its agent forthwith every case known or believed 
to be leprosy. (Ibid., sec. 1124 and acts of 1909, chap. 81, sec. 3.) 

The board of health is req^uired during the prevalence of any severe 
pestilence or epidemic to puDlish weekly a report of the pubhc health. 
(Revised Laws, 1905, sec. 988.) 


IDAHO. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The law provides for a State board of health of five members 
as follows: Two physicians appointed by the governor, the attorney 
general of the State, the State engineer, and a phjT-sician elected as 
secretary of the board by the other four members. (Revised Politi- 
cal Code, 1908, title 8, ch. 1, art. 1, p. 529.) 

Counties. — The board of county commissioners and the county 
physician constitute a county board of health, the county physician 
being secretary and the executive officer of the board. (Ibid., art. 
3, p. 534.) 

Cities. — Rule VIII of the rules and regulations of the State board 
of health (May, 1909), requires that the county boards of health 
shall insist on the organization of municipal boards of health in 
incorporated towns and villages within their respective counties. 

MORBIDITY REPORTS. 

Notifiable diseases. — Rule X of the rules and regulations of the 
State board of health (May, 1909), declares the following-named 
diseases to be dangerous and contagious: Asiatic cholera, yellow 
fever, sinallpox, chicken pox, typhus fever, leprosy, bubonic plague, 
diphtheria, scarlet fever, typhoid fever, measles (including rotheln), 
and whooping cough. Cerebro-spinal meningitis and infantile 
paralysis’’ were added to this list by regulation of the State board 
of health October 6, 1910. 

Physician, head of family, etc. — Physicians are required to report 
cases of the dangerous and contagious diseases in their practice in 


22 


writing within 24 hours to the board of health having jurisdiction, 
giving the name and residence of the sick person. If there is no 
attending physician it is then the duty oi the owner or agent of the 
building in which the case occurs or of the head of the family to 
make the report. (Rule XIV, State board of health, 1909.) 

Physicians or other persons called to attend cases of smallpox, 
cholera, plague, yellow fever, diphtheria, membranous croup, scarlet 
fever, typhoid fever, or any other disease dangerous to the public 
health, or required by the State board of health to be reported, are 
required to report said cases to the health officer having jurisdiction, 
giving the name, age, sex and color of the patient, and the place 
where the patient may be found. It is also the duty of the head of 
the family and of the owner or agent of the owner of the building 
in which cases occur to give immediate notice to the health officer. 
(Revised Political Code, 1908, sec. 1099.) 

Midwives, nurses, etc. — It is the duty of midwives, nurses, or other 
persons having charge to report within six hours to the local health 
officer or to some phj^sician when the eyes of an infant under two 
weeks of age become reddened or swollen or contain pus. (Ibid., 
sec. 1108.) 

Municipal authorities. — All health reports of municipal boards 
of health must be transmitted to the county board of health quar- 
terly. (Rule IX, State board of health, 1909.) 

County authonties. — The county physician is required to make a 
quarterly report to the State board of health, containing a summary 
of contagious and infectious diseases. (Rule IV, State board of 
health, 1909.) 

ILLINOIS. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The law provides for a State board of health of seven 
members appointed by ine governor. (Rev. Stat.,1909, ch. 126 a, 
sec. 1.) 

Counties and townships. — The board of county commissioners in 
counties not under township organization and the supervisor, assessor, 
and town clerk of every township in counties under township organiza- 
tion, constitute a board of health with jurisdiction outside of the 
limits of incorporated cities and villages. These boards have the 
power to appoint phvsicians as health officers. (Ibid., ch. 34, sec. 
116,117.) 

Cities and villages. — The city council or board of trustees have 
jurisdiction in and over all places within one-half mile of the city 
or village limits for the purpose of enforcing health and quarantine 
ordinances and regulations. (Ibid., ch. 24, sec. 44.) 

The city council in cities and the president and board of trustees 
in villages have the power to appoint a board of health for the respec- 
tive cities and villages except in cities incorporated under special 
acts making other provision. (Ibid., ch. 24, sec. 62, par. 76.) 

MORBIDITY REPORTS. 

Physicians. — The attending physician or the householder in 
whose dwelling the case occurs must immediately notify the local 
health authorities of existing cases of smallpox, scarlet fever, diph- 


23 


theria, Asiatic cholera, yellow fever, bubonic plague, glandere, 
anthrax, or lopros}"'. (Rules and regulations, State board of health, 

1907, p. 83.) . . ^ . 

Midwives and nurses. — Midwives and nurses having charge or 
infants under 2 weeks of age are to report in writing within six hours 
to the local health officer or to some physician whenever the eyes of 
an infant become inflamed or reddened. (Rev. Stat., 1909, ch. 38, 

sec. 510.) . . . 

Local health authorities. — The local health authorities are required 
to report immediately to the secretary of the State board of health 
the first case of smallpox, diphtheria, scarlet fever, Asiatic cholera, 
yellow fever, bubonic plague, glanders, anthrax, or leprosy occurring 
111 any town, township, village, city, or county, and to report at least 
once a week the progress of outbreaks of these diseases. (Rules and 
regulations. State board of health, 1907, p. 83.) 

Occupation diseases. — ^Every employer engaged in carrying on any 
process of manufacture or labor in which sugar of lead, white lead, 
lead chromate, litharge, red lead, arsenate of lead, or Paris green 
are employed, used, or handled, or in the manufacture of brass, or 
the smelting of lead or zinc, is required, as often as once every cal- 
endar month, to cause all employees who come into direct contact 
with the poisonous agencies or injurious processes to be examined 
by a competent physician for the purpose of ascertaining if there 
exists in any employee any industrial or occupational disease or 
illness, or any disease or illness due or incident to the character of 
the work in which the employee is engaged. Physicians making 
these examinations are to immediately report their findings to the 
State board of health. If any case of such disease is found, the 
report is to give the name, age, address, and sex of the employee 
affected, the nature of the disease or illness, and the probable extent 
and duration thereof, the name of the employer, and the last place 
of employment. If no case of such disease is found, the report 
shall so state. The secretary of the State board of health is to imme- 
diately forward copies of these reports received by the State board 
of health to the State department of factory inspection. (Act 
approved May 26, 1911.) 

nsroiANA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — There is a State board of health of five members, of whom 
four are appointed by a board of appointment, consisting of the gov- 
ernor, secretary of State, and auditor of the State. The four so 
.appointed elect a physician to be secretary. The secretary, by virtue 
of his election, is a member of the State board of health, executive 
officer of the board, and State health commissioner. (Burns Anno- 
tated Indiana Statutes, 1908, ch. 81, sec. 7589, Acts of 1909. ch. 144, 
sec. 1.) 

Counties. In every county the board of county commissioners 
elects a physician to be county health commissioner. The State 
board has the power to discharge any county health commissioner or 
health officer in the vState. (Acts of 1909, ch. 144, secs. 3, 4.) 

Cit^s. In every incorporated city there is to be a department of 
health composed of a board of three commissioners, of whom two 


24 


must be physicians. This board is to be known as the city board of 
health and is appointed by the mayor. This board appoints a sec- 
retary who is executive officer of the board. (Ibid.) 

In counties with a population of less than 30,000 the board of 
county commissioners may, upon agreement with the mayor or mayors 
of any or all the incorporated cities within the county, consolidate the 
boards of health of one city, or the boards of all cities with the office 
of county health commissioner, and appoint a single health officer 
known as the county health commissioner. (Ibid.) 

Incorporated towns. — ^The board of town trustees constitutes the 
board of health and appoints a town health officer. (Ibid.) 

MORBIDITY REPORTS. 

Notifiable diseases. — The diseases required to be reported immi, 
diately to the local health officer are yellow fever, smallpox, cholera- 
diphtheria, membranous croup, scarlet fever, measles, typhus fever, 
bubonic plague, leprosy, pulmonary consumption, typhoid fever, 
chickenpox, and whooping cough. (Rule 10, Indiana State Board 
of Health.) 

Physicians. — Physicians and midwives are required to report im- 
mediately to the secretary of the local board of health cases of con- 
tagious or infectious disease required by the State board of health to 
be reported. These reports are made on forms supplied by the State 
board of health. In cities and towns the reports are sent to the city 
or town health officer. Outside of cities and towns the reports are 
sent to the county health officer or his deputies. If no physician is in 
attendance the report is to be made by the householder or person hav- 
ing the case in charge. (Burns Annotated Statutes, 1908, sec. 7607.) 

Parents, etc. — Whenever one or both eyes of an infant under 2 
weeks of age become inflamed, swollen, or reddened, or show any 
unnatural discharge, and no legally qualified physician is in attend- 
ance, it is the duty of its ])arents or caretakers to report the fact in 
writing within six hours to the health officer having jurisdiction. 
(Acts of 1911, ch. 129, sec. 3.) 

Town and city health ofiicers. — Town and city health officers enter 
the record of cases of infectious disease reported to them in a record 
book and by the 2d of each month forward the original infectious dis- 
ease reports received during the preceding month to the county 
health commissioner. (Rule 6, Indiana State Board of Health.) 

County health commissioners. — County health commissioners make 
a special monthly report to the State board of health by the 8th of 
each month for the preceding month, giving the number of cases re- 
ported of typhoid fever, scarlet fever, smallpox, diphtheria, and mem- 
branous croup. They also make quarterly reports of contagious- 
diseases on blanks furnished by the State board. All books and docu- 
ments are kept at the county seat. (Rule 1, Indiana State Board of 
Health.) 

IOWA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The State board of health consists of the attorney general 
the State veterinary surgeon, one civil engineer, and seven physicians. 


25 


The board elects a secretary, who is not a member of the board. 
(Iowa Code, Ch. XVI, Title XII.) 

Districts. — The State is divided into eight health districts. (Ibid.) 

Toioiis hips. —The trustees of each township constitute a township 
board of health and appoint a physician as health officer. (Ibid.) 

Cities. — ^The mayor and council of each town or city constitute a 
local board of health for the town or city and appoint a physician as 
health officer. Ubid.) 


MORBIDITY REPORTS. 

Notifiable diseases. — Scarlet fever, diphtheria, smallpox, cholera, 
leprosy, epidemic cerebro-spinal meningitis, pohomyelitis, plague. 
(Regulations, State board of health, July 21, 1911, Rules I and III.) 

Physician or householder . — All cases of the above-named diseases 
are required to be reported immediately to the mayor of the city or 
town, or the clerk of the township, if outside of a city or town, by the 
attending physician, or in his absence, by the householder of the 
premises wherein the disease exists, this immediate report to be fol- 
lowed within 24 hours by a written notice of the case. (Ibid.) 

Midwives, nurses, etc . — Persons in charge of infants are to report to 
the local health officer or to a physician within six hours whenever 
the eyes of an infant become inflamed within two weeks after birth. 
(Acts of 1896, ch. 57, sec. 1. See footnote, p. 123.) 

Local authorities. — It is the duty of the mayor of« every town and 
city and the clerk of every townsliip to report to the secretary of the 
State board of health vdtliin 24 hours every case of the above-named 
diseases reported to liim. All reports are to be made on postal cards 
in accordance with forms adopted by the State board of health. 

The mayors of incorporated cities and towns and the clerks of town- 
ships are required to keep a record of all cases of contagious or infec- 
tious diseases reported to them and to forward a copy of tins record 
for the preceding calendar year to the secretary of the State board of 
health by the 1st of Februaiy. (Regulations, State board of health.) 

KANSAS. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — There is a State board of health consisting of nine physi- 
cians and one other person (‘^preferably an attorney'") appointed by 
the governor. The board elects a secretary, who becomes the execu- 
tive officer of the board, but not a member of it. (General Statutes 
1909, sec. 8027.) 

Counties . — The county comimssioners of the several counties act 
as local boards of health for their respective counties, and each board 
elects a physician, who becomes ex officio a member of the board and 
health officer of the county. (General Statutes, 1909, sec. 8033.) 

MORBIDITY REPORTS. 

Physicians. Whenever a physician knows or has reason to believe 
that any person whom he is called to visit, or any person sick within 


26 


his knowledge without the care of a physician, is sick with or has died 
of cholera, smallpox, scarlet fever, diphtheria, epidemic cerebro-spinal 
meningitis, or any disease dangerous to the public health, he is re- 
quired to give notice of the fact to the nearest board of health or 
health officer. (General Statutes, 1909, sec. 8074.) 

Tuberculosis is declared to be an infectious and communicable 
disease, dangerous to the public health, and physicians are required 
to report cases of it to the county health officer, or in cities of the 
first class (cities having over 15,000 inhabitants) to the city health 
officer witMn 24 hours after he becomes aware of their existence, the 
report to be in writing and to give the name, age, sex, color, occupa- 
tion, place where last employed, and address. Similar reports are 
to be made by the cliief officer having charge for the time being of any 
hospital, dispensary, asylum, or other similar private or public insti- 
tution of cases coming under liis observation. (General Statutes, 
1909, sec. 8061.) 

Householder. — Householders are required to give notice of cases of 
smallpox, cholera, scarlet fever, diphtheria, epidemic cerebro-spinal 
meningitis, or any disease dangerous to the public health occurring 
in their families. (General Statutes, 1909, sec. 8075.) 

Local health officers. — Municipal and county boards of health and 
health officers having knowledge of any contagious or infectious dis- 
ease, or of a death from such a disease, witliin their jurisdiction, are 
required to communicate without delay all information as to existing 
conditions to tlie State board of health. (General Statutes, 1909, 
sec. 8076.) 

KENTUCKY. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The State board of health consists of eight physicians, seven 
appointed by the governor, the eighth member is the secretary and 
executive officer and is elected by the board, of which he is ex officio 
a member. (Statutes, 1909, sec. 1757.) 

Counties. — The State board of health appoints three physicians in 
each county, who, together with the county judge and one person 
elected by the fiscal court of each county, constitute a local board of 
health for the county. (Ibid., sec. 1743.) 

Cities. — It is the duty of the council or board of trustees of every 
incorporated city and town of more than 2,500 inhabitants to appoint 
a board of health for such city or town, each of said boards to appoint 
a physician to be health officer of the city or town and executive 
officer and ex officio a member of the board. (Ibid., sec. 1769.) 

MORBIDITY REPORTS. 

Physicians and heads of families. — It is the duty of physicians to 
report cases in their practice, and of heads of families to report cases 
in their families, of cholera, smallpox, yellow fever, scarlet fever, 
diphtheria, and other epidemic and communicable diseases to the 
county board of health or to some member of the board within 24 
hours. (Ibid., sec. 1743.) 


27 


County boards of health . — County boards of health are to report at 
least once in three months to the State board of health the nature and 
number of cases of the infectious, epidemic, and communicable dis- 
eases reported to them. (Ibid., sec. 1743.) 

liOmSIAlS^A. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — The law provides for a State board of health of seven physi- 
cians appointed by the governor. (Revised Laws, Wolff, 1904, vol. 2, 
p. 1440.) 

Parishes {counties ). — The police jury of each parish is required to 
appoint a parish board of health of three members, of whom one shall 
be a physician and two shall be members of the police jury, the physi- 
cian to be the health officer and chairman of the board. (Ibid.) 

Cities . — The legislative body of each incorporated municipal 
government is required to appoint five persons to be members of the 
town or city board of health. The chairman of the board is health 
officer. (Ibid.) 

For the cities of Shreveport and Baton Rouge, the governor 
appoints three members and the council two members of the board of 
health. (Ibid.) 

MORBIDITY REPORTS. 

Physicians, etc . — Physicians are required to report within 24 hours 
to the local board of health all cases of contagious disease in their 
practice, stating the state of the disease, and the patient’s place of 
dwelling and name, if known. (Louisiana Sanitary Code, 1909, 
Ch. III.) 

The phrase “contagious disease” is declared to include diseases of 
an infectious, contagious, or pestilential nature. (Ibid.) 

The following-named diseases are declared to be communicable 
and dangerous to the public health: Smallpox, cholera, diphtheria, 
typhoid fever, typhus fever, yellow fever, cerebro-spinal meningitis, 
relapsing fever, epidemic dysentery, rabies, glanders, charbon, tuber- 
culosis, bubonic plague, leprosy, scarlet fever, measles, pneumonia, 
dengue.^ (Ibid.) 

Whenever a case of variola or varioloid breaks out in any com- 
munity of the State, it is the duty of the attending physician, or in 
the absence of one, of the head of the household, or manager of the 
hotel, lodging house, or camp where the case may occur, to immedi- 
ately notify the health officer having jurisdiction, and in the absence 
of such health officer, to notify the president of the State board of 
health. (Ibid.) 

Physicians are to report cases of consumption in their practice 
immediately to the municipal or parish health officer on blank forms 
furnished by the State board of health. (Ibid.) 

Cases of pneumonia are to be reported promptly to the local health 
officer by the attending physician, or in his absence by the head of 


relationship of this list of diseases declared to be communicable, and dangerous to the public health 


28 


the household. (Ibid.) Dengue and yellow fever are to be reported 
promptly by the attending physician. (Ibid, Ch. IX.) 

Midwives, nurses, etc. — Persons other than physicians are to report 
cases of inflamed eyes in newborn children to the town or parish health 
officer within 12 hours. (Ibid., Ch. III.) 

Local health authorities. — ^The parish health officer is to countersign 
the reports of cases of consumption received by him and forward 
them to the State board of health quarterly. (Ibid., Ch. III.) 

Municipal and parish health officers are to immediately notify the 
president of the otate board of health of cases of dengue, or yellow 
fever. (Ibid., Ch. IX.) 

The local board of health is to report weekly to the State board, 
unless otherwise ordered, the progress of any of the quarantinable 
diseases which may be present in its jurisdiction. (Ibid, Ch. III.) 

State hoard of health. — Whenever a quarantinable disease breaks 
out in any community of the State, it is the duty of the president of 
the State board of health to immediately notify the health authori- 
ties of surrounding States and the Surgeon General of the Public 
Health and Marine-Hospital Service. (Ibid., Ch. HI.) 


MAINE. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — Provision is made for a State board of health consisting 
of six members appointed by the governor, and a secretary elected 
by the six members so appointed. The secretary is a member of the 
board and its executive officer. (Rev. Stat., 1903, ch. 18, sec. 1. 

Towns (townships). — The law provides for a board of health of 
three members appointed liy the town (township) authorities in each 
organized town (township). (Rev. Stat., ch. 18, sec. 24.) 

Cities. — Provision is made for a board of health of three members 
appomted by the municipal authorities in each city. (Ibid.) 

MORBIDITY REPORTS. 

Physicians and householders. — Householders are required to 
report cases of the following diseases occurring within their families 
or households: Smallpox, diphtheria, scarlet fever, cholera, typhus 
fever, typhoid fever, cerebro-spinal meningitis, measles, membranous 
croup, and whooping cough. (Poliomyelitis was added January 10, 
1911, Regulations State board of health.) Notice is to be given to the 
health officer of the town either at the office of the health officer or 
by mail within 24 hours. In tbe absence of a health officer the 
report is to be made to the secretary of the local board of health. 
Physicians are to report cases of the above-named diseases occurring 
in their practice within 24 hours to the same authority. (Rev. 
Stat., 1903, ch. 18, secs. 33, 36.) 

Physicians are required to report in writing on forms furnished by 
the State board of health the name, age, sex, color, occupation, place 
where last employed, and address of every person known by them to 
have tuberculosis, to the secretary of the State board of health 
within 48 hours after such fact comes to their knowledge. (Laws 
1909, ch. 78, sec. 2.) 


29 


Institutions . — It is also the duty of the chief officer having charge 
for the time being of any hospital, dispensary, asylum, sanatorium, or 
other similar private or public institution to report in like manner to 
that prescribed for physicians, every patient having tuberculosis 
who comes into his care, or under his observation, within 48 hours, 
and also to state the previous address of the patient and to notify 
the secretary of the State board of health of changes in address of 
tuberculous patients who are or have lately been under his care. 
(Laws 1909, ch. 78, sec. 2.) 

Midwives, nurses, etc . — When one or both eyes of an infant under 
four weeks of age become reddened or inflamed it is the duty of the 
midwife, nurse, or person having charge to report the fact at once to 
a legally qualified practitioner of medicine. (Rev. Stat., 1903, ch. 
18, sec. 90.) 

Local health authorities . — Local boards of health are required to 
report promptly to the State board of health every case of smallpox, 
varioloid, diphtheria, scarlet fever, typhoid fever, cerebro-spinal 
meningitis, measles, membranous croup, whooping cough, and pul- 
monary tuberculosis occurring within their respective jurisdictions. 
(Rev. Stat., 1903, ch. 18, sec. 30.) 

State . — The State board of health is to keep a register of persons 
affected with tuberculosis. (Laws 1909, ch. 78, sec. 1.) 


MARYLAND. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — The law provides for a State board of health of seven 
members, as follows: Four members, of whom one shall be a civil 
engineer, and three shall be physicians appointed by the governor, 
the attorney general of the state, and the commissioner of health of 
the city of Baltimore, the seventh member to be the secretary of the 
board. (Poe’s Public General Laws, 1904, art. 43, p. 1192.) The 
State board of health and the bureaus under it are designated the 
State department of health. (Acts of 1910, ch. 560.) 

The board of county commissioners constitutes a local 
board of health in each county with jurisdiction throughout the 
county, except in cites and towns having charters inconsistent with 
such extension of jurisdiction. Each county board of health is to 
ajipoint a physician as county health officer, who thus becomes 
secretary and executive officer of the board. (Public General Laws 
1904, art. 43, secs. 22, 23.) ' 

MORBIDITY REPORTS. 

— Physicians are to report immediately in writine to 
the board of health of the “city, town or county” iii which the dis- 
ease exists, cases of the following-named diseases occurring in their 
practice: Smallpox, diphtheria, membranous croup, scarlet fever, 
typhoid fever, typhus fever, yellow fever, measles, whooping cough, 
and any other contagious or infectious disease dangerous to the 
public health. (Ibid., see. 5U 

Physicians are to report cases of pulmonary and laryngeal tubercu- 
losis commg under their care to the secretary of the State board of 


30 


health within seven days, upon blanks furnished by said board, the 
report to give the name, age, sex, color, occupation, social condition, 
and residence of the person affected. (Ibid., sec. 58.) 

Institutions. — The superintendent or other person in charge or 
control of any hospital, dispensary, school, reformatory, or other 
institution deriving the whole or any part of its support from the 
public funds of the State, or of any city, town, or county in the State, 
having in charge or custody or under care persons suffering with pul- 
monary or laryngeal tuberculosis is to make, or cause to be made, 
within 48 hours a record of the name, age, sex, color, occupation, 
social condition, and residence of the persons affected, these records 
to be forwarded to the State board of health on Monday of the week 
immediately following that in which the records are made. (Ibid, 
sec. 57.) 

Householders. — Whenever a householder knows that a person within 
his family or house is sick with smallpox, diphtheria, membranous 
croup, scarlet fever, typhoid fever, typhus fever, measles, mumps, 
whooping cough, or any other infectious or contagious disease dan- 
gerous to the public health, he is to immediately give notice of the 
fact to the board of health of the ^‘city or county” in which he dwells. 
(Ibid., sec. 50.) 

Midwives, nurses, etc. — Midwives, nurses, or other persons in 
charge of infants under two weeks of age are re(juired to report imme- 
diately to the local health officer or to a physician whenever one or 
both eyes of the infant become reddened or inflamed. (Ibid., art. 
27, sec. 231.) 

Hotel heelers, etc. — Hotel keepers, keepers of boarding houses and 
lodging houses, superintendents, managers, or directors of private or 
public institutions of any kind are to report any cases of Known or 
suspected smalljiox, cholera, yellow fever, typhus or typhoid fever, 
scarlet fever, lejirosy, or any other infectious or contagious disease 
occurring on the premises under their management or control imme- 
diately in writing to the health officer of the city or town, or, in the 
absence of a local health officer, to the secretary of the State board 
of health. (Ibid., art. 43, sec. 67.) 

Local health authorities. — The boards of health of ‘‘cities, towns, 
and counties” are to keep a record of the reports of disease made to 
them. (Ibid., art. 43, sec. 52.) When any board of health has had 
notice of the occurrence of a case of smallpox or any other contagious 
or infectious disease dangerous to the public health it is to notify the 
State board of health within 24 hours. (Ibid., art. 43, sec. 53.) 

State. — The State board of health is to keep a register of all persons 
in the State known to be affected with tuberculosis. (Ibid., sec. 56.) 

Pursuant to the preceding, local boards of health report once a 
month cases of smallpox, diphtheria, typhoid fever, scarlet fever, 
measles, whooping cough, mumps, and other diseases. (Secretary 
State board of health.) 

Local health officers are also to promptly notify the secretary of 
the State board of health of the existence of any epidemic or any 
unusual sickness or mortality that may come to their knowledge 
within their respective jurisdictions or contiguous thereto. (Public 
General Laws, 1904, art. 43, sec. 29.) 


31 


MASSACHUSETTS, 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — There is a State board of health consisting of seven mem- 
bers appointed by the governor. (Revised Laws, 1902, ch. 75, sec. 1.) 

Health districts . — The State board of health was required by an act 
passed in 1907 to divide the State into not more than 15 districts, 
to be known as health districts, and to appoint in each district a 
State inspector of health for the district. The State inspectors of 
health are under the general supervision of the State board of health. 
(Acts of 1907, ch. 537, secs. 1, 2, and 4, as amended by Acts 1910, 
ch. 523.) The State is divided into 14 health districts. (Secretary 
State board of health.) 

Towns (townships ). — Each town “may’' elect a board of health 
of three members. If this is not done the selectmen act as a board of 
health. (Acts of 1907, ch. 560, sec. 366.) 

Cities . — In each city except Boston the board of health is to consist 
of three persons appointed by the mayor, one of whom must be a 
doctor of medicine, and no one of whom is to be a member of the city 
council. (Revised Laws, 1902, ch. 75, p. 657.) This does not apply 
to cities whose charters make other provision for boards or depart- 
ments of health. 

MORBIDITY REPORTS. 

Notijiahle diseases . — The State board of health is directed to define 
what diseases shall be deemed to be “dangerous to the public health.” 
(Acts of 1907, ch. 183, sec. 1.) 

The State board therefore on August 1, 1907, declared the follow- 
ing diseases to be “dangerous to the public health” and therefore 
notifiable: Actinomycosis, Asiatic cholera, cerebro-spinal meningitis, 
diphtheria, glanders, leprosy, malignant pustule, measles, scarlet 
fever, smallpox, tetanus, trichinosis, tuberculosis, typhoid fever, typhus 
fever, varicella, whooping cough, yellow fever. Anterior poliomyelitis, 
ophthalmia neonatorum, and trachoma were added in 1909. 

Householders.— A. householder who knows that a person in his 
family or house is sick of smallpox, diphtheria, scarlet fever, or any 
other infectious or contagious disease declared by the State board 
of health to be dangerous to the public health is required to forth- 
with give notice thereof to the board of health of the city or town in 
which he dwells. (Acts of 1907, ch. 480, sec. 1.) 

Whenever one or both eyes of an infant become inflamed, 
swollen and red, and show; an unnatural discharge at any time wdthin 
two weeks after its birth, it is the duty of the nurse, relative or other 
attendant having charge of the infant to report the fact in writino- 
within 6 hours thereafter, to the board of health of the city or town 
m which the parents of the infant reside. (Ibid.) 

Phystaans.— Physicians are required to give immediate notice 
ot cases ot dangerous diseases to the local authorities. If a physician 
knows that a person whom he is called to visit is infected with small- 
pox, mphthena, scarlet fever, or any other disease declared by the 
btate board of health to be dangerous to the public health, or if one or 
both eyes of an infant whom or whose mother he is called to visit 
become inflamed, swollen and red, and show an unnatural discharge 


32 


within two weeks after the birth of such infant, he is required to 
immediately give notice of the fact in writing over his signature to the 
selectmen or board of health of the town. (Ibid, sec. 2.) 

Local health authorities. — The boards of health of cities and towns 
are required to report to the State board of health within 24 hours 
all cases which are reported to them of the diseases declared by the 
State board to be dangerous to the public health, and to give the 
name and location of each patient. (Ibid, sec. 3.) 

If a local board of health refuses or neglects to make these reports, 
the city or town forfeits its claim upon the Commonwealth for the 
payment of expenses for the care and management of cases of the ' 
diseases dangerous to the public health, as provided in section 1, 
chapter 213, acts of 1902. (Revised Laws, ch. 75, sec. 53.) 

MICHIGAN. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — There is a State board of health of seven members ap- 

E ointed by the governor. (Compiled Laws, 1897, sec. 4397, and 
laws of 1905, Act 18, sec. 4.) 

Townships. — The township board constitutes a board of health. 
The supervisor is president and the township clerk is clerk of the 
board. Eveiy board of health appoints a health officer, a physican 
being appointed where practicable. (Compiled Law^s, 1897, sec 4410, 
4411.) 

Cities and villages. — The mayor and aldermen of each incorporated 
city, and the president and council or trustees of each incorporated 
village, in which no board of health is organized under its charter, 
exercise all the powders and perform all the duties of a board of health 
within the limits of the city or village. (Ibid., sec. 4459.) 

MORBIDITY REPORTS. 

Notifiable diseases. — In compliance with section 1, Act 293, Public 
Acts 1909, authorizing the State board of health to designate what 
diseases are dangerous, commimicable diseases, and what diseases 
are contagious diseases, and making it the duty of every local board 
of health and health officer to observe such rules in relation to the 
dangerous communicable and the contagious diseases as may be pre- 
scribed by the State board, the following-named diseases are by 
regulation declared dangerous, communicable diseases, contagious 
and infectious in character and dangerous to the public health: 
Pneumonia, tuberculosis, typhoid fever, meningitis, diphtheria, 
whooping cough, scarlet fever, measles, and smallpox. Cases of 
each of these diseases must be reported by the attending physician 
or householder to the local health officer, who in turn must report them 
to the State board of health. 

The regulation also states that the following-named diseases shall 
be reported for statistical purposes: Tetanus, rabies, cancer, ery- 
sipelas, and leprosy. 

Physicians. — ^Whenever a physician know^s that any person whom 
he is called to visit or who is brought to him for examination, is 
infected with smallpox, cholera, diphtheria, scarlet fever, or any 
other disease dangerous to the public health, he is required to imme- 


33 


cliately give notice thereof to the health officer of the township, city 
or village, and to the householder, hotel keeper, keeper of a boarding 
house or tenant within whose house or rooms the sick person may 
be. The report to the health officer must state the name of the 
disease and the name, age, and sex of the person sick, and must 
designate by street and number or otherwise, the house or room in 
which the person is sick, (Ibid., sec. 4453.) 

For this report the physician is entitled to the sum of 10 cents. 
(Ibid., sec. 4454.) 

Every physician attending or called upon to treat a patient whom 
he believes to be sulfering from poisonhig from lead, phosphorus, 
arsenic, or mercury, or their compounds, or from anthrax, or from 
compressed-air illness, contracted as a result of the nature of the 
patient’s employment, is required to send to the State board of health, 
who is to transmit to the commissioner of labor, a notice stating the 
name, post-office address, and place of employment of the patient, 
the length of time of such employment, and the disease from wliich 
in the opmion of the physician the patient is suffering. (Laws of 1911, 
act 119, sec. 1.) 

Householders, etc . — Whenever any householder, hotel keeper, keeper 
of a boarding house or tenant knows or is informed by a physician or 
has reason to believe that any person in his family, hotel, boarding 
house, or premises is taken sick with smallpox, cholera, diphtheria, 
scarlet fever, or any other disease dangerous to the public health, he 
is required to immediately report the case to the local health officer. 
(Ibid., sec. 4452.) 

Midwives, nurses, etc. — Midwives, nurses, or other persons in charge 
of infants are required to report in writing within six hours after its 
discovery to the local health officer or some legally qualified practi- 
tioner of medicine whenever one or both eyes of an infant become 
inflamed or swollen or reddened, or whenever any pus or secretion 
forms in the eyes or upon, the edge of the lids at any time within two 
weeks after birth. (Ibid., sec. 4475.) 

Tuberculosis. — Tuberculosis is declared to be an infectious and com- 
municable disease. Physicians are required to report to the local 
health officer within 24 hours, in writing, the name, nationality, age, 
sex, color, occupation, place where last employed, and address of every 
person known by the physician to have tuberculosis, also the occu- 
pation at the time the disease was contracted and the date thereof, 
as near as can be, the time thereafter continued at such occupation, 
and 'all subsequent occupations and the term of each up to the time 
of death or recovery of the patient. It is also made the duty of 
the chief officer having charge for the time being of any hospital, 
dispensary, asylum, or other similar private or public institution to 
report in like manner, and in addition give the previous address of 
the cases of tuberculosis coming into his care or under his observa- 
tion. (Laws of 1909, Act 27, secs. 1 and 12a, as amended by Act 317; 
Laws of 1909, and Act 80, Laws of 1911.) 

It is the duty of the attending physician to report to the local 
health officer whenever a person having tuberculosis recovers there- 
from. (Ibid., sec. 12.) 

It is the duty of local health officers to record all reports of cases 
of tuberculosis, including the results of examinations showing the 
93321°— n 3 


34 


presence of tubercle bacilli, in a register furnished by the State board 
of health and to forward to the State board of health a copy of this 
register quarterly. The registers are not open for inspection except 
to the health authorities. (Ibid., sec. 4.) 

The State board of health shall, when it receives the full quarterly 
report, compile such report to show the number of cases and the 
location of each case, the number of deaths and the number of recov- 
eries, the age, sex, and color, and the occupation at the time the 
person contracted the disease, and all subsequent occupations and the 
term of each up to death or recovery, and shall classify them to show 
the percentage of deaths in each trade or occupation from tubercu- 
losis, these compilations to be published annually in the reports of 
the State board. (Ibid., sec. 12a.) 

Local health officers. — Whenever the health officer of any township 
city, or village, receives notice or otherwise has good reason to 
believe that there is in his jurisdiction a case of smallpox, diphtheria, 
scarlet fever, or other communicable disease dangerous to the public 
health, it is his duty to keep the secretary of the State board of health 
constantly informed respecting the outbreak. (Compiled Laws, 1897, 
sec. 4460.) 

MINNESOTA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS* 

State. — The State board of health consists of nine members 
appointed by tlie governor. The board elects a secretary who is the 
executive officer of the board and may or may not be one of its 
members. The board exercises general supervision over all health 
officers and boards. (Revised Laws, 1905, sec. 2127-2130.) 

Counties. — The county board elects two of its members and a 
resident physician to constitute a board of health for each county 
with jurisdiction over all unorganized towns therein. At least one 
member of every local board must be a physician and act as local 
health officer and executive of the board. (Ibid., sec. 2134.) 

Townships. — Every toAvnship board of supervisors constitutes a 
board of health for the township, and has jurisdiction over every 
village within its boundaries in which no organized board of health 
exists. The board of supervisors must appoint a physician to act 
as health officer. (Ibid., sec. 2134.) 

Cities and villages. — Villages may and cities must provide by 
ordinance for the establishment of a board of health. In the absence 
of such provision in any city, the State board may appoint three 
persons to act as a board. One member of every local board must be 
a physician and act as health officer. (Ibid., sec. 2134.) 

MORBIDITY REPORTS. 

Physicians. — Physicians are to report immediately to the local 
health officer cases of the following diseases coming under their care : 
Smallpox, epidemic cerebro-spmal meningitis, epidemic anterior 
poliomyelitis, scarlet fever, diphtheria, measles. (Regulations, 
Minnesota State Board of Health, June 15, 1910.) 

Cases of tuberculosis and typhoid fever are to be reported to the 
State board of health on blanks furnished for the purpose, ^vithm 


35 


one week after tlie patient comes under treatment, except that in 
cities and villages where physicians are required by ordinance or 
regulation to report such cases to the local board of health they are 
not required to also report them directly to the State board of health 
j)rovided the local health officer makes returns of all such cases 
reported to him to the State board of health once a month on blanks 
furnished for the purpose. (Ibid.) 

Midwives, nurses, etc . — Persons in charge of infants under 2 months 
of age are to report to the local health officer in writing within 12 
hours whenever the eyes of such infant become inflamed. (Ibid.) 

Local health officer . — Local health officers are to report immedi- 
ately to the secretary of the State board of health cases of the fol- 
lowing-named diseases occurring within their respective jurisdictions: 
Smallpox, scarlet fever, diphtheria, epidemic cerebro-spinal menin- 
gitis, anterior poliomyelitis, measles, typhoid fever and tuberculosis.' 
(Ibid.) 

MISSISSIPPI. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 


/S' Department of public health: The Mississippi State Medical 
Association, and all other State, district, and county medical societies 
and associations of the State in affiliation with the purposes of its 
organization are constituted the Mississippi Department of Public 
Health. Any licensed practitioner of medicine may on application 
have his name enrolled as a member of said department. (Missis- 
sippi Code, 1906, sec. 1640.) 

^ Board of health. — The State board of health consists of 13 physi- 
cians appointed by the governor. (Ibid, sec. 2482.) The board elects 
a president and a secretary from its members. (Ibid., sec. 2484.) 
It may remove county health officers from office. (Ibid., sec. 2490.) 

Counties . — It is the duty of the bureau of vital statistics of the State 
department to appoint a county board of health in each county, con- 
sisting of one physician from each supervisor’s district, for the pur- 
pose of collecting vital, mortuary, and sanitary statistics. The county 
health officer is chairman of the board. The county board ''may” 

keep books of register for births, deaths and infectious disease. 
(Ibid., sec. 1645.) 

The State board of health appoints in each county a physician to 
be county health officer. If interior counties do not want a health 

officer, the State board of health need not appoint one. (Ibid 
sec. 2491.) ^ V 

Cities.— Arvf mjnicipality “may” establish a board of health and 
pass samtary laws not inconsistent with the rules and regulations of 
the State board of health. (Ibid., sec. 2505.) 

MORBIDITY REPORTS. 

Physicians are required to report immediately to the 
secretary of the State board of health every caso of yellow fever, 
c o era, engue, smallpox, or other virulent, epidemic, contagious 
disease occurring m their practice, unless the State board of health 
directs otherwise. Ibid., sec. 2498.) Physicians are also to report 
to the secretary of the State board of health all cases of tuberculosis, 


36 


consumption, or other pulmonary diseases in their practice within 
10 days. (Acts of 1910, ch. 130, sec. 1.) 

MISSOURI. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State.— The State board of health consists of seven members, 
appointed by the governor. At least five of the members are required 
to be physicians. (Annotated Statutes 1906, secs. 7518, 7519.) 

Counties . — There is a county board of health in each county, con- 
sisting of the judges of the county court, and a physician appointed 
by them. This board has jurisdiction outside of incorporated cities 
and towns. The county boards are subsidiary to the State boaid. 
(Ibid sec 7529a.) 

Cities. — St. Louis: Provision is made for a health department 
controlled by a board of health and a health commissioner. The 
health commissioner is appointed by the mayor. The board of. 
health consists of the mayor, the presiding officer of the council, a 
commissioner of police, the health commissioner, and two ph^^sicians. 
(City charter, Art. XII.) 

Cities of the first class (population between 75,000 and 150,000): 
Provision is made for a health department in all cities of the first 
class, this department to be under the control of a board of health 
consisting of the mayor and three members appointed by him. One 
member, but not more than one member, of the board must be a 
medical practitioner. (Laws, 1909, secs. 291, 292.) 

MORBIDITY REPORTS. 

County health officer . — It is the duty of the county health officer to 
immediatelv report to the secretary of the State board of health cases 
of the following-named diseases, whenever they occur within his 
jurisdiction: Smallpox, diphtheria, membranous croup, scarlet fever, 
typhus fever, yellow fever, cholera, bubonic plague, and leprosy. 
(Regulations, State board of health. Rules I and II.) 

It is the duty of the secretary of the county board of health to 
report quarterly to the secretary of the State board of health, ‘‘the 
number of contagious diseases and the results during the past 
quarter.” These reports are to be made on the 1st of March, June, 
September, and December, and are to conform to the blanks fur- 
nished by the secretary of the State board of health. (Ibid, Rule 12.) 

MONTANA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — The governor appoints three physicians ^yho, together with 
the governor, attorney general, and State veterinarian, constitute the 
State board of health. The board elects a physician as secret ary , who 
becomes a member of the board, its executive officer, and the State 
health officer. (Revised Codes, 1907, sec. 1474.) ^ 

Counties . — The board of county commissioners and one physician 
whom they appoint, constitute the county board of health. The 


37 


physiciaTi so appointed becomes secretary of the board, and county 
Health officer. (Ibid., sec. 1492.) 

Cities and towns. — The municipal authorities of each incorporated 
city and town appoint a board of health of three members, one of 
whom must be a pln^sician; except that incorporated towns of less than 
5,000 inhabitants may ])lace themselves under the care of the county 
board of health, in which case the jurisdiction of the county health 
officer includes the town. (Ibid., sec. 1484.) 

MORBIDITY REPORTS. 

Notijiahle diseases . — The communicable diseases are designated as 
smallpox, diphtheria, scarlet fever, cholera, ])lague, yellow fever, 

spotted” or ‘Hick” fever, typhus fever, typhoid fever, cerebro- 
spinal meningitis, and measles. (Ibid., sec. 1500.) 

Householders. — Householders are required to report immediately 
to the health officer of the town or city or county in which they reside 
cases of any of the communicable diseases within their families or 
households. (Ibid., sec. 1501.) 

Physicians. — Physicians are required to report cases of the com- 
municable diseases in their practice immediately to the health officer 
of the city or town, or if not in a city or town, then to the county 
health officer. (Ibid., sec. 1502.) 

Local health officers. — ^Local and county health officers are required, 
on or before the 5th day of each months to forward to the secretary 
of the State boaid of health, on blanks provided for the purpose, a 
report of all communicable diseases reported to them during the pre- 
ceding calendar month. ( Ibid., sec. 1495.) 

NEBRASKA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. The State board of health consists of the governor, the 
attorney general, and the superintendent of public instruction. The 
governor appoints four physicians to be secretaries. (Compiled Stat- 
utes, 1909, secs. 4315, 4317.) 

Counties. — The law provides that the county board of supervisors 
or commissioneys in each county shall establish a board of health, one 
meniber of which shall be a physician, the board of health to have 
jurisdiction throughout the county except in cities and villages hav- 
ing power to establish boards of health. (Ibid., sec. 4401.) 

, Cities. -Cities of over 100,000 population have a health commis- 
sioner. Cities of less than 100,000 population have power to create 
a board of health. (Ibid., secs. 894, 1246.) 

MORBIDITY REPORTS. 

P/iy§icm7is.~Physicians residing or practicing within the limits of 
any mty,_ town, or township are required to report to the local board of 
hea th within 24 hours by the most expedient method cases of Asiatic 
cholera, yellow fever, smallpox (or varioloid), diphtheria (mem- 
branous croup), scarlet fever (scarlet rash or scarlatina), measles, 
ypnus tever, ophthalmia neonatorum, typhoid fever, cerebro-spinal 


38 


meningitis, leprosy, whooping cough, chicken-pox, tuberculosis, 
puerperal fever, or an}^ other disease contagious or dangerous to 
public health. Where no physician is in attendance the responsi- 
bility for reporting the case rails upon any person having charge, or the 
head of the family, or any person having the care or custody of any 
lodging rooms in which cases occur. School teachers are also to report 
to the local board of health cases of the above-named diseases. Where 
no local board of health is organized all the reports provided for above 
are to be made to the State board of health. (Rule 1, Regulations 
State board of health, promulgated in compliance with sec. 6, art. 7, 
ch. 55, Rev. Stat., 1903.) 

Local hoards. — Local boards of health are required during the prev- 
alence of any of the diseases named in the preceding paragraph to 
make adequate report from time to time to the State board of health, 
giving the nature of the diseases and the number of cases. (Ibid., 
Rule 3.) 

It is the duty of all boards of health to report to the State board of 
health promptly the existence of any one of the following diseases: 
Asiatic cholera, yellow fever, smallpox, scarlet fever, diphtheria, 
typhus fever, typhoid fever, and such other contagious and infectious 
diseases as the State board of health may from time to time specify. 
(Compiled Statutes, 1909, ch. 55, § 4404, sec. 8.) 

1STEVAI>A. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — The State board of health consists of a president and a 
secretary appointed by the governor and a third member appointed 
by the governor and the president and secretary of the board. (Laws 
of 1911, ch. 199, sec. 1.) 

Counties. — In each county there is a board of health consisting of 
the county physician, the sheriff, and the board of county commis- 
sioners. The county physician acts as chairman of the board. 
(Laws of 1905, ch. 42, sec. 1.) 

Cities. — In incorporated cities and towns the city council has the 
power to create a board of health and prescribe its powers and duties. 
(Laws of 1907, Ch. CXXV.) 

The boards of county commissioners have the power to establish 
and maintain a board of health in any town or city in their respective 
counties. (Laws of 1903, Ch. XXXVIII.) 

MORBIDITY REPORTS. 

There is no State law recjuiring the reporting of cases of sickness. 

NEW HAMPSHIRE. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — The State board of health consists of the governor, the 
attorney general, three physicians, and a civil engineer, the last four 
named being appointed by the governor. The board appoints a 
physician as secretary and executive officer of the board. Tne secre- 


39 


tary may be a member of the board. (Public Statutes, 1891, ch. 107, 

secs. 1,2.) . 

Towns (townships). — The selectmen of each town are required to 
appoint a board of health, consisting of three persons, of whom at 
least one shall, whenever practicable, be a physician in active practice 
in the town. (Acts of 1897, ch. 45, sec. 1 as amended by sec. 1, ch. 
65, Laws of 1899.) 

Cities. — All powers vested in the board of health of towns is in 
cities vested in the city council. (Public Statutes, 1891, ch.50, sec. 9.) 

MORBIDITY REPORTS. 

Physicians. — It is the duty of every physician who attends upon 
any person infected with smallpox, malignant cholera, diphtheria, 
scarlet fever, or other malignant pestilential disease to immediately 
report the same to the health ofhcers, or, in their absence, to the 
selectmen of the town. (Acts of 1901, ch. 13, sec. 1.) Similar report 
is to be made in the event of suspected cases of smallpox. (Acts of 
1903, ch. 45, sec. 1.) 

It is also the duty of every physician practicing medicine or surgery 
to report in writing to the State board of health, witliin one week after 
the disease is recognized, on forms provided by said board, the name, 
age, sex, color, occupation, and address of every person under his 
care who in his opinion is infected with pulmonary or other form of 
tuberculosis. It is also the duty of the officer having charge for the 
time being of each and every hospital, dispensary, asylum, or other 
public or private institution, to report in hke manner, the name, age, 
sex, color, occupation, and last address of every person in his care or 
who has come under his observation, within one week of such time, 
who in Ids opinion is infected with pulmonary or other form of tuber- 
culosis. Physicians are also to report the recovery of cases of tuber- 
culosis to the State board of health. (Acts of 1911, ch. 6, secs. 1 
and 5.) 

Householders and others. — Whenever any person knows, or has 
reason to believe, that any member of Ins family or household 
(boarder, roomer, or visitor) has either smallpox, diphtheria, mem- 
branous croup, scarlet fever, typhoid fever, measles, or any other 
malignant communicable disease, he is required to give notice within 
24 hours, if no physician is in attendance, to the local board of health 
of the town or city in which he resides. Such notice may be given 
either verbally or in writing. (Acts of 1901, ch. 16, sec. 2.) 

Upon the appearance of smallpox, typhoid fever, or any other 
dangerous, communicable disease in any unincorporated locality in 
the State, it is made the duty of any person having knowledge 
thereof immediately to notify the State board of health of the 
appearance of such disease, provided there is no local board of health 
having jurisdiction in the locality. (Acts of 1911, ch. 17, sec. 1.) 

Local hoard of health. — Upon the appearance of any of the diseases 
named in the preceding paragraph in any town or city, the board of 
health is required to make an immediate report to the State board 
of health, upon blanks furnished for the purpose, and to thereafter 
make a weekly report as long as the dise- se continues, stating the 
number of cases, the number of infected houses, the fatality, and such 
other facts as may be required by the State board. (Ibid., sec. 5.) 


40 


State hoard of health ,. — The State board of health is required to keep 
a register of all cases in which the tubercle bacilli has been found 
present. Tliis register is not to bo open to inspection in such manner 
as to reveal the identity of the patient, except to a health officer. 
The recovery of cases is also to be recorded in the register. (Acts of 
1911, cli. 6, sec. 3-5.1 

NEW JERSEY. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — Provision is made for a State board of health composed of 
six persons appointed by the governor, one of whom must be a physi- 
cian, and becomes secretary of the board. (Act approved Mar. 31, 
1887, sec. 1 as amended by sec. 1, ch. 299, Laws of 1908.) 

Townships . — In each township the township committee, the town- 
ship assessor, and one physician appointed by tne township committee 
constitute a board of health for the township. (Laws of 1887, ch. 68, 
sec. 10.) 

Cities . — Every cit}^, borough, and tovvm is required to have a local 
board of health. (Ibid., sec. 9.) 

MORBIDITY REPORTS. 

f 

Physicians, etc . — Every ])hysician is required to report within 12 
hours to tlie local lioard of Iiealth having jurisdiction, or in the 
absence of such board to tlic assessor of the township, all cases of 
the following named diseases occurring in his practice: Cholera, 

yellow fever, typhus fever, leprosy, plague, trichinosis, smallpox, 
varioloid, typhoid fever, diphtheria, membranous croup, scarlet fever, 
malaria, tuberculosis in any of its manifestations, trachoma, rabies, 
glanders, anthrax, chicken pox, poliomyelitis, or any other contagious, 
infectious, or communicable disease which the State board of health 
may declare to be preventable and specially dangerous to the public 
health. The report is to be in writing, signed by the physician, and 
to include the name, age, and location of the person suffering from 
the disease. (Acts of 1911, ch. 381, sec. 1.) 

When no physician is in attendance, the case is to be reported 
within 12 hours by the house owner or householder in whose dwelling 
or building it occurs. (Ibid.) 

Physicians are to report in writing to the local board of health of 
the city, borough, town, or other municipality the name, age, sex, 
color, occupation, place where last employed, if known, and address 
of every person known by them to have tuberculosis. The report is 
to be signed and is to be made within 48 hours after the fact comes 
to the knowledge of the physician. Similar reports including the 
previous address are to be made within 48 hours by the chief officer 
naving charge for the time being of any hospital, asylum, prison, or 
other private or public institution, of every patient having tubercu- 
losis who comes under his care or observation. (Acts of 1910, ch. 169, 
sec. 1.) 

Every physician who attends any person sick with typhoid fever, 
dysentery, scarlet fever, diphtheria, or tuberculosis on any dairy 
premises where milk is jiroduced for sale or distribution, or in a 
household any member of which is employed at such a daily, is 


41 


required to report the case within 12 hours after his first attendance, 
to the State board of health, £>iving the nature of the disease, the name 
of the person sick, and his place of residence. (Acts of 191 1, ch. 380, 
secs. 1-2.) 

]\[idwives, nurses, etc . — Ophthalmia neonatorum: When one or both 
eyes of an infant become inflamed, swollen, or reddened, or show 
any unnatural discharge at any time within two weeks after birth and 
no legally qualified practitioner of medicine is in attendance upon 
the infant at the time, it is the duty of the midwife, nurse, attend- 
ant, or relative having charge of the infant, to report the case in 
writing to the local board of health of the city, towmship, or other 
municipality within six hours. (Acts of 1895, Ch. CXVIII, sec. 1 ; 
also General Statutes, 1895, p. 1676, sec. 1.) 

Local health authorities . — Reports of disease made by physicians in 
pursuance to section 1, chapter 381, Acts of 1911, cited above, are 
to be entered in a book kept for the purpose by the officer receiving 
them. This officer is also required to transmit by mail to the State 
board of health a transcript of the reports received by him at least 
once a week, and daily wdien required by the State board. (Acts of 
1911, ch. 381, sec. 2.) 

NEW MEXICO. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

Tcmtory.— Provision is made for a board knowm as the New 
Mexico Board of Health and Medical Examiners, and composed of 
seven physicians appointed by the governor. This board elects one 
of Its members secretary. (Acts of 1907, ch. 34, sec. 1, as amended 
by ch. 99, Acts of 1909.) 

Counties. The board of county commissioners in each county 
annually contracts in writing with some reputable physician to be 
county health officer. The health officer so appointed is subject to 
the orders of the^ board of county commissioners, and may with the 
board’s consent appoint as many assistant health officers as the pub- 
hc health and safety require. (Acts of 1909, ch. 99, sec. 4.) 

Cities. The mayor and council, trustees or other governing bodies 
ot incorporated cities and towns constitute a board of health for the 
city or town. (Laws of 1901, Ch. XVII, sec. 25.) 


MORBIDITY REPORTS. 

P%siaa?is.— Whenever any physician or other person knows that 
any person is sick witli smallpox or other contaa:ioiis or infectious 
( isease, dangerous to the public health, he is required to at once give 
notice thereof to the mstice of the peace of the precinct in which the 
(lisease occurs if outside of an incorporated city, town, or village • if 
vyhin the limits of a city, town, or village, then the notice is to’be 

V ven county. Whenever such notice is 

hoottV* ffi ^ peace, it is his duty to at once notify the 

health officer ot the county. (Acts of 1903, ch. 103, sec. 19.) 

in y«':«--:yhenever any householder knows that any person 

eerous^^^flfe'^^K • or other contagious disease^ (Un- 

fame noHno ^ 7 health, he is required to immediately give the 
same notice thereof as is required of physicians. (Ibid., sec. 20.) 


42 


NEW YORK. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — Provision is made for a State department of health at the 
head of which is a commissioner of health, appointed by the governor. 
The commissioner must be a physician. (Consolidated Laws, 1909, 
p. 4422, sec. 2.) 

In the State department of health there is a bureau of vital statis- 
tics for the registration of births, marriages, deaths, and prevalent 
diseases. (Ibid., p. 4423, sec. 5.) 

If any municipal corporation (town, city, or village) authorized 
by law to establish a local board of health, omits to do so, the State 
commissioner may, in such municipality, exercise the powers of a 
local board of health and appoint a health officer for the corporation, 
and fix his duties and compensation. (Ibid., p. 4426, sec. 11.) 

Towns {townships) . — The town (township) board and one other cit- 
izen appointed by the town board constitute a town board of health, 
and appoint a physician to be town health officer. (Ibid., p. 4428, 
sec. 20.) 

A town board of health does not have jurisdiction over any city or 
incorporated village, or part of such city or village within the town, 
provided such city or village has an organized board of health. (Ibid., 
p. 4445, sec. 34.) 

Cities of the first class (cities having a population of over 175,000). — 
The charters of cities of the first class provide for the appointment of 
a commissioner of health by the mayor. 

Cities of the second class (cities with a population of between 50,000 
and 175,000). — In cities of the second class the commissioner of 
public safety (appointed by the mayor) exercises all the powers and 
performs the functions of a local board of health. He appoints a 
physician to be health officer. (Consolidated Laws, 1909, p. 5318, 
secs. 130, 131; and p. 5324, secs. 145, 146.) 

Cities of the third class (cities with a population of leSs than 50,000). — 
In cities of this class there is a board of health consisting of the 
mayor and at least six other persons, one of whom must be a physi- 
cian, nominated by the mayor, and appointed by the common council. 
This board, unless the city charter provides otherwise, appoints a 
physician to be health officer of the city. (Ibid., p. 4428, sec. 20.) 

Villages. — In villages the board of trustees- appoints a board of 
health of not less than three persons, nor more than seven. This 
board appoints a physician to be health officer. (Ibid.) 

MORBIDITY REPORTS. 

Notifiable diseases. — The following named diseases are those desig- 
nated by the State department of health to be reported: Anterior 
poliomyelitis, anthrax, bubonic plague, cancer, cerebro-spinal menin- 
gitis, cholera, diphtheria, hydrophobia, leprosy, measles, ophthalmia 
neonatorum, pellagra, pneumonia, scarlet fever, smallpox, tetanus, 
pulmonary or laryngeal tuberculosis, typhoid fever, typhus fever, 
whooping cough, yellow fever. (Monthly Bulletin, New York State 
Department of Health, November, 1910, p. 299.) {See also p. 156.) 


43 


Physicians, etc. — Every physician is required to immediately give 
notice of every case of infectious and contagious or communicable 
disease, required by the State department of h^ealth to be reported to 
it, to the health officer of the city, town (township), or village in 
which the case occurs. When no physician is in attendance on the 
case, it is the duty of the superintendent or other officer of an institu- 
tion, hospital, or hotel or lodging-house keeper, or other person where 
the case occurs, to give such notice. The physician or other person 
giving the notice is entitled to the sum of 25 cents therefor. (Con- 
solidated Laws, 1909, p. 4436, sec. 25.) (See also p. 156.) 

Tuberculosis is declared to be an infectious and communicable dis- 
ease, dangerous to the public health, and it is made the duty of every 
physician to report in writing the name, age, sex, color, ^occupation, 
place where last employed if known, and address of every person 
known by such physician to have tuberculosis, this report to be made 
to the health officer of the city, town (township), or village in which 
the case occurs within 24 hours after the fact comes to the knowledge 
of the physician. (Ibid., p. 4544, sec. 320.) 

It is also the duty of the chief officer having charge for the time 
being of any hospital, dispensary, asylum, or other similar public or 
private institution, to report in like manner the name, age, sex, 
color, occupation, place where last employed if known, and previous 
address of every person having tuberculosis who comes into his care, 
or under his observation, this report to be made within 24 hours. 
(Ibid., p. 4544, sec. 320.) 

Upon the recovery of any person having tuberculosis it is the duty 
of the attending physician to make a report of the fact to the local 
health officer. (Ibid., sec. 330.) 

Local health authovities. — Local boards of health are required to 
report to the State department of health promptly the facts relating 
to infectious, contagious, or communicable diseases, and every case 
of smallpox or varioloid within the municipality (city, village, or 
town). Health officers of cities, villages, and towns (townships) are 
to report in writing once a month to the State department of health 
all cases of such infectious and contagious or communicable disease 
as may be required by the State department of health. Health 
officers of villages and towns are to be paid by the municipalities 
employing them a sum not to exceed 20 cents for each case so reported 
(Ibid., p. 4436, sec. 25.) 

^ The health officers, commissioners of health, or boards of health of 
cities of the first class, are required to report promptly to the State 
department of health all cases of smallpox, typhus fever, yellow 

fever, and cholera, and the facts relating thereto. (Ibid., p 4436 
sec. 25.) ^ ’ 

NORTH CAROLINA. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 


State.^ The State board of health consists of five persons (one of 
whorn is a sanitary engineer) appointed by the governor, and four 
members of the Medical Society of the State of North Carolina 
chosen by the medical society by ballot. The board of health elects 
a secretary-treasurer who is known as the State health officer. 
(Kevisal of 1905, secs. 4435, 4440.) 


44 


Counties. — There are coimty boards of health consisting of the 
chairman of the board of coimty commissioners, the mayor of the 
county town (in the absence of a mayor the clerk of the superior 
court), the coimty superintendent of schools, and two physicians 
chosen by the three first named. These boards elect in each county a 
county superintendent of health. The chairman of the board of 
county commissioners appoints as county quarantine officer a candi- 
date approved by the State board of health. (Acts of 1911, ch. 62, 
secs. 9, 16.) 

Townships. — The county quarantine officer is empowered to 
appoint one deputy quarantine officer in each township of the county. 
(Ibid., sec. 19.) 

Cities. — City and town authorities are authorized to elect municipal 
health ofh(5ers. (Ibid., sec. 14.) The city or town authorities may 
assign the duties of the quarantine officer in the city or town to the 
municipal health officer. (Ibid., sec. 15.) 

MORBIDITY REPORTS. 

Notifiable diseases. — Smallpox, diphtheria, scarlet fever, measles, 
whooping cough, yellow fever, typhus fever, cholera, and bubonic 
plague. (Ibid., secs. 17, 18.) 

Physicians. — If a physician suspects that a person whom he is called 
to visit is infected with any one of the above-named diseases he is 
required to immediately give notice to the quarantine officer, or the 
dejHity quarantine oflicer. (Ibid., sec. 18.) 

Householders. — If a householder knows that a person within his 
family is sick with any one of the above-named diseases he is to give 
immediate notice to the quarantine or deputy quarantine officer. 
(Ibid., sec. 17.) 

Deputy quarantine ofiicers (townships). — The deputy quarantine 
officer is required to at once notify the county quarantine officer 
whenever he receives notice of the existence of cases of any of the 
notifiable diseases. (Ibid., sec. 19.) 

Quarantine ofiicers (counties and cities). — The quarantine officer is 
to notify the secretary of the State board of health by telegram within 
24 hours after receiving information of the jiresence of yellow fever, 
cholera, typhus fever, or bubonic plague, of the existence of every 
case. lie is also to mail to the secretary of the State board of health 
not later than the 5th of each month the original records of all cases 
of the notifiable diseases for the preceding month. (Ibid., sec. 19.) 

. NORTH DAKOKA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The State board of health consists of a president, a vice 
president, and a superintendent of health appointed by the governor. 
The State board of health superintends the several city, viflage, and 
county boards of health. (Revised Code, 1905, secs. 252, 255.) 

Counties. — Provision is made for county boards of health composed 
of a president, a vice president, and a county superintendent of health 
appointed by the board of county commissioners. The county boards 
of health have jurisdiction within their respective counties, outside 
of the corporate limits of cities having a city board of health, and 


45 


subject to the supervisory control of the State board of health and 
the superintendent of public health. (Ibid., secs. 259, 262.) 

Townships . — The supervisors of each township constitute a board 
of health for the township. (Ibid., sec. 3116.) 

Cities . — In each incorporated city there is a board of health, and 
the mayor appoints a physician to be health ollicer. (Ibid., secs. 
266, 267.) 

The trustees of each incorporated village constitute a board of 
health for the village. (Ibid., sec. 3116.) 

MORBIDITY REPORTS. 

Physicians, etc . — Any physician attending a case of infectious or 
contagious disease is required by law to immediately notify the health 
officer within whose jurisdiction the case occurs, giving the name of the 
patient, place of residence, and character of the disease, and in addi- 
tion to certify the facts to the clerk of the civil township in which the 
disease occurs, and in counties not organized into civil townships, 
to the county commissioner having jurisdiction. (Revised Code, 
1905, sec. 290.) 

The law also provides that whenever it comes to the knowledge 
of any physician or other person that a contagious, epidemic, or infec- 
tious disease exists within the jurisdiction of any local board, he shall 
immediately report to such board in writing the name and place of 
residence, if known, of every person afflicted with such disease, and 
if he is the attending physician of such person, he shall report not less 
than twice in each week the condition of each person so afflicted and 
the state of the disease. (Ibid., sec. 275.) 

Each keeper of any private house, boarding house, lodging house, 
inn, or hotel is required to report in writing to the local board of 
health \\T thin whose jurisdiction the case may occur each case of 
contagious, infectious, or epidemic disease which may occur in his 
house, inn, or hotel, such report to be made within 24 hours after the 
existence of the disease becomes known, and to show the name of the 
patient and the nature of the disease. (Ibid., sec. 277.) 

^ Also when no physician is employed, it is the duty of the parents to 
mvG, within 24 hours, notice to the proper office of the presence of 

contagious or infectious disease within their household. (Ibid 
sec. 289.) ’ 

Also the oldest person next of kin, the keeper or other proper officer 
or every workhouse, poorhouse, reform school, jail, prison, hospital, 
asylum, or other public or charitable institution is to give like notice 
ol any infectious or contagious disease occurring among the persons 
under his charge. (Ibid., sec. 289.) 

Whenever one or both eyes of an infant become inflamed, swollen, 
or reddened, cr show any unnatural discharge, or secretion at any 
tune within two weeks after its birth, and no legally qualified physi- 
cian IS in attendance upon the infant at that time, it is the duty of its 
parents or in their absence, whoever is caring for said infant, to 
report the fact in writing within six hours after discoverv, to the 
health officer having jurisdiction. This report is not required to be 
made from recognized hospitals. (Acts of 191 1 , ch. 188, sec. 3.) 

Locat heoMh authonhes. ~J \iq health officer of each city, the clerk 
0 each civil township, and in counties not organized into civil town- 


46 


ships the county commissioner for his district, and the superin- 
tendent of the county board of health of each county are required 
to obtain and register in the registry of infectious and contagious 
diseases the names of the persons affected; the sex, color, and age of 
such persons; the nature of the disease; and the date of record. 
(Ibid., sec. 288.) 

It is the duty of the health officer of each city and the clerk of each 
organized civil township, and in counties not organized into civil 
townships the county commissioner for his district, to make and send 
a certified copy of the registry of infectious and contagious diseases 
for the preceding month to the superintendent of the county board 
of health, not later than the 10th of each month. (Ibid., sec. 291.) 

It is the duty of each local board of health, whenever it comes to its 
knowledge that a case of smallpox, scarlet fever, diphtheria, or other 
infectious or contagious disease exists within its jurisdiction, to imme- 
diately notify the State board of health of the existence and nature 
of such disease. (Ibid., sec. 282.) 

County hoards of health . — The superintendent of the county board 
of health of each county is to make and send to the State superin- 
tendent of health, on or before the 15th day of each month, a copy of 
the records showing all the cases of infectious or contagious diseases 
reported to liim for the preceding month. (Ibid., sec. 292.) 

The county superintendent of health is to report the facts imme- 
diately to the superintendent of public health (State) whenever any 
contagious or infectious disease occurs in his county, either among 
persons or animals. (Ibid., sec. 260.) 

State authorities . — The superintendent of public health is to make 
to the governor on the 1 st day of December of each even-numbered 
year a full report showing the character and extent during the pre- 
ceding two years of all contagious or infectious diseases which have 
been reported to liim. (Ibid., 1905, sec. 257.) 

OHIO. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — Ohio has a State board of health consisting of eight mem- 
bers. The attorney general is ex officio member of the board. The 
other seven members are appointed by the governor. (Ohio General 
Code, 1910, sec. 1232.) The board elects a secretary. (Ibid., sec. 1234.) 

Townships . — The trustees of the township constitute a board of 
health for the township outside the limits of cities and villages. 
They appoint a health officer. (Ibid., sec. 3391.) 

Cities and villages . — The law specifies that the council of each city 
and village shall establish a board of health of five members appointed 
by the mayor. (Ibid., sec. 4404.) The board of health appoints a 
health officer. (Ibid., sec. 4408.) 

In villages the council may appoint a health officer instead of a 
board of health, such appointee to be approved by the State^ board 
of health. (Ibid., sec. 4404.) If any city, village, or township fails 
or refuses to establish a board of health, or appoint a health officer, 
the State board of health may appoint a health officer for such city, 
village (ibid., sec. 4405), or township (ibid., sec. 3393). 


47 


MORBIDITY REPORTS. 


Notifiable diseases. — Smallpox, cholera, plague, yellow fever, typhus 
fever, diphtheria, membranous croup, scarlet fever, typhoid fever, and 
any other disease dangerous to the public health, or required by the 
State board of health to be reported. (Ibid., sec. 4427.) 

The State board of health requires reports also of cases of cerebro- 
spinal meningitis, cliickenpox, measles, whooping cough (Sept., 1910), 
infantile paralysis (Dec., 1910), and trachoma (Mar. 2, 1911). 

Physicians . — Physicians or other persons attending cases of the 
above-named diseases, owners or agents of buildings in which cases 
reside, and heads of families in which cases exist are required to 
report the cases to the health officer within whose jurisdiction they 
occur, giving in such report the name, age, sex, and color of the 
patient and the house or place in wliich he may be found. (General 
Code, sec. 4427.) 

Midwives, nurses, etc. — Midwives, nurses, or relatives in charge of 
infants less than 10 days old are to report within six hours in writing 
to the physician in attendance or to the local health officer whenever 
such infant’s eyes become inflamed or swollen or show an unnatural 
discharge. (Ibid., sec. 12787.) 

Boards of health . — Health authorities or officials, and physicians 
in localities where there are no health authorities or officials, are 
required to report promptly to the State board of health the exist- 
ence of cases of Asiatic cholera, yellow fever, smallpox, scarlet fever, 
diphtheria, niembranous croup, typhus or typhoid fever, and such 
other contagious or infectious diseases as the State board may 
specify. (Ibid., sec. 1243.) 

The State board requires the boards of health of cities, villages, 
and townships to make semimonthly, on the 1st and 16th of each 
month, a report of the recorded cases of the following-named dis- 
eases; Asiatic cholera, bubonic plague, cerebro-spinal meningitis, 
chickenpox, diphtheria, measles, membranous croup, scarlet fever, 
smallpox, typhoid fever, typhus fever, whooping cough, and infantile 
paralysis. (Sept., 1910.) 

OKLAHOMA. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

Oklahoma has a State board of health in charge of one 
commissioner, known as the State commissioner of health, who is 
appointed by the governor and has power to make and enforce any 
an(l all needful rules and regulations for the preyention and cure 
and to preyent the spread of any contagious, infectious, or malarial 
disease among persons, and to superintend the seyeral boards of 

1007 cities, yillages, towns, and townships. (La\ys 

iyu/-8, cn. 79, secs. 1, 2.) 

1 law requires that the State commissioner of health 

shall appoint in every county of the State a county superintendent 

be a practicing physician in good standing 
and a resident of the county. (Ibid., sec. 60 

lowjwW — In each township of each county the board of direc- 
tors constitutes a township board of health, and in its capacity as such 
nder the supervision of the county superintendent of public 


48 


health, and is governed by rides and regulations prescribed by the 
State board of health. ^ It is the duty of the township board to en- 
force, under the direction of the county superintendent of public 
health, rules and regulations of the State board pertaining to quaran- 
tine or contagious and infectious disease. (Ibid., sec. 7.) 

Cities . — Incorporated towns (villages): The town board of direc- 
tors constitutes a board of health and performs the same duties as 
the township board, and is under the same supervision of the county 
superintendent and the State board. (Ibid., sec. 8.) 

Cities of the first class: In cities of the first class the mayor and 
common council constitute a board of health and are authorized to 
appoint a city superintendent of public healtly who shall be a practic- 
ing ])hysician and a resident of the city. It is the duty of the mayor 
and council to enforce all rules and regulations in regard to the 
public health. (Ibid., sec. 9.) 

(All cities of over 2,000 })opulation may become cities of the first 
class.) 

MORBIDITY REPORTS. * 


Physicians . — Practicing ])hvsicians are required to report to the 
county su])erintendent of ])ublic liealth, u])on forms prescribed and 
furnished by the State board of health, all cases of infectious and 
contagious diseases, these rejiorts to be made by the physician as 
soon as tlio disease is discovered. (Ibid., sec. 10; also Compiled 

Laws, 1909, sec. 349.) _ , . 

In cities of the first class ])hysicians report to the city superin- 
tendent of public healtli, u])on forms prescribed and furnished by the 
State board of health, all cases of infectious and contagious diseases as 
soon as discovered. (Ibid., sec. 11; also Compiled Laws, 1909, sec. 


350.) 

Practicing ])hysicians are required to rejiort the cases of contagious 
and infectious diseases wliich have occurred in their practices during 
the month to the county superintendent or the city superintendent 
of public health, as the case niay be, on the last day of eaclp month. 
(Rules and regulations promulgated l>y the State commissioner of 
health pursuant to sec. 2, ch. 79, Session Laws 1907-8, rule 16.) 

Tuberculosis is declared to be an infectious and communicable 
disease, dangerous to the public health, and it is made the duty 
of every physician to report in writing to the health officer of the 
city, town, or village, within 24 hours, the name, age, sex, color, 
occupation, place where last employed if known, and address of 
every person known by said physician to have tuberculosis. (Ibid, 

rule 41.) . 

It is also made the duty of the chief officer havmg charge for the 
time being of any hospital, dispensary, or asylum, or other similar 
public or private institution, to report in like manner the name, 
age, sex, color, occupation, place where last employed if known, 
and previous address of every patient haying tuberculosis who comes 
into his care or under his observation, this report to be made within 


24 hours. (Ibid., rule 41.) ^ 

Local health officers.— HhQ city and county supermtendents of 
health are required to make a report on the 10th day of each month 
to the State commissioner of health of all cases of contagious and 
infectious diseases rc];orted to them for the preceding calendar 
month. (Ibid, rule 16.) 


49 


OREGON. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 


State . — The law provides for a State board of health of seven 
members. The board elects a secretary, who becomes, by virtue 
of such election, a member of the board, and is known as the State 
health officer. (Oregon Acts, 1903, p. 82.) 

Counties . — The county judge and county commissioners constitute 
ex officio a board of health for the county and elect a secretary, who 
becomes health officer. 

Cities . — The mayor and common council of each incorporated 
city constitute a board of health for the city, except where boards 
of health are constituted by statute or city ordinance. Each board 
elects a secretary, who becomes health officer of the board. (Acts 
of 1905, ch. 170, as amended by ch. 82, Acts of 1907.) 

MORBIDITY REPORTS. 


Physician . — Every physician or other person having charge of a 
case of any infectious or epidemic disease must report the case imme- 
diately to the county or citv health officer. (Acts of 1903, p. 82, 
sec. 12.) 

It is the duty of every practicing physician to report to the county 
health officer, or to the health officer of the municipal corporation, 
within 24 hours, by the quickest means of communication, cases of 
diphtheria, membranous croup, scarlet fever, cholera, typhus fever, 
typhoid fever, srnallpox, measles, cerebrospinal meningitis, ophthal- 
mia neonatorum, infantile paralysis, bubonic plague, leprosy, barber’s 
itch, and tuberculosis. (Rule 1, Oregon State Board of Health, 
191 1 • ) 

It is the duty of the superintendent of any State institution or of 
any children’s home, or other institution of a public nature, to report 
to the secretary of the State board of health any of the diseases 
enumerated in the preceding paragraph by the 10th day of each 
month for the preceding calendar month. (Rule 3, Oregon State 

It is also made the duty of every ph}^sician called to attend a person 
sick, or suspected of being sick, or in the absence of a physician the 
householder, to report in writing within 24 hours, giving the name 
and residence, all cases of cholera, yellow fever, smallpox, diphtheria' 
meinbranous croup, scarlet fever, typhus fever, typhoid fever, or 

bubonic (sic), or any other contagious disease, to the county 
health officer, or other health officer having jurisdiction. (Rule 17 
Oregon State Board of Health, 1911.) 

Local health authorities.— It is the duty of the county board of 
health to report to the secretary of the State board of health monthly 
not later than the 10th day of the month, all cases of infectious 
disease which have been reported to the county board during the 

to^fhA^ month. Cities which keep their own records report direct 
to the State board of health m the same manner as the county 
boards. (Acts of 1903, p. 82, sec. 8.) county 

93321°— 11 4 


50 


PENNSYLVANIA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — There is a department of health, consisting of a commis- 
sioner of health and an advisory board. The commissioner is a 
physician, is the head of the department, and is appointed by the 
governor. (Laws of 1905, act 218, sec. 1.) 

Districts . — In order to insure the management of the sanitary 
affairs and the registration of vital statistics in the different parts 
of the State, the commissioner of health is authorized to apportion 
the State into 10 districts and to appoint a physician in each district 
to be health officer and to have, under the direction of the commis- 
sioner, supervision and control of the sanitary affairs of the district 
and the registration of vital statistics. The commissioner of health 
may also appoint and employ such assistants to the health officers 
of the districts as he may deem necessary. (Laws of 1905, act 218, 
sec. 11.) 

Pursuant to the above, a pli 3 ’sician of five or more years’ experi- 
ence in the practice of medicine has been ajipointed in each county 
by the State department of health to act as a representative of the 
department. Townships in which there are no local boards of health 
have been grouped into about 700 districts, in each of wliich is a local 
health officer (not necessarily a physician) appointed and paid by 
the State department of health. 

Townships of the first class (that is, townsliips with a population of 
at least 300 to the square mile). — It is the duty of the township com- 
nhssioners to appoint a townsliip board of liealth of five members, 
of whom one must be a ])h}"sician. The board elects a health officer. 
(Laws of 1907, act 228, sec. 1.) 

Cities . — Cities of the first class: In cities of the first class (cities 

vdth a population of over 1,000,000) there is a board of health of 
three members appointed by the mayor. One member is designated 
as the chief of the board of health, and is president of the board. 
The director of public health and charities is the chief executive of- 
ficer of the board. (Purdon’s Digest, p. 2925, secs. 786, 788; 1903 
Public Laws, 157, sec. 4.) 

Cities of the second class : In cities of the second class (cities with 

a population of between 100,000 and 1,000,000) there is a bureau of 
health, wliich is connected with and under the control of the depart- 
ment of public safety. The director of the department of public 
safety appoints a superintendent of the bureau of health, and such 
other employes as are necessary. (Purdon’s Digest, p. 3024, sec. 107 ; 
1895 Public Laws, 350, sec. 1.) 

Cities of the third class: The council of any city of the tliird class 

(cities with less than 100,000 inhabitants) may b^" ordinance create 
a board of health, consisting of five members. (Laws of 1889, Art. 
XI, p. 306.) ^ 

Boroughs (incorporated villages with over 300 inhabitants). — It is 
the duty of the president of the town council or burgess, where he is 
the presiding ofiicer, to appoint a board of health of five members. 
(Purdon’s Digest, Vol. I, p. 532; 1893 Public Laws, 44.) 


51 


MORBIDITY REPORTS. 


Physicians. — Every physician practicing in any portion of the 
State who treats or examines any person suhering from or afflicted 
with actinomycosis, anthrax, bubonic plague, cerebro-spinal menin- 
gitis (epidemic), cerebro-spinal fever (spotted fever), chickenpox, 
Asiatic cholera, diphtheria (diphtheritic croup, membranous croup, 
putrid sore throat), epidemic dysentery, eiysipelas, German measles, 
glanders (farcy), rabies (hydrophobia), leprosy, malarial fever, 
measles, munu)s, pneumonia (true), puerperal fever, relapsing fever, 
scarlet fever (scarlatina, scarlet rash), smallpox (variola, varioloid) 
tetanus, trachoma, trichiniasis, tuberculosis in any form, typhoid 
fever, typhus fever, whooping cough, uncinaria duodenalis (hook 
worm)/ pellagra,^ anterior ])oliomyelitis (infantile paralysis),^ or 
yellow fever is required, if said case is located in a township of the 
first class, a borough, or a city, to forthwith make a report in writing 
to the health authorities of said township, city, or borough; and, if 
the case is located in a township of the second class, or a city, borough, 
or township of the first class not having a board of health or body 
acting as such, to the State department of health, upon blanks supplied 
for that purpose, in which report he shall, over his own signature, state 
the nanie or the disease, and the name, age, sex, color, nativity, and 
occupation, if any, of the person suffering therefrom, together with the 
street and house number of the premises in which said person may be 
located, or otherwise sufficiently designate the same, the date of the 
onset of the diseasy the name and occupation of the householder in 
whose family the disease may have occurred, the number of children 
in said household attending school, and the name or names of the 
school or schools so attended, together with such other information 
relating to said case as may be required by said health authorities and 
the State department of health. (Laws, 1909, act 658, sec. , 1 .) 

Local health authorities health authorities of the several cities, 
boroughs, and townships of the first class are recjuired at the end of 
each week, and for the fraction of each week occurring at the end of 
the inonth, to report to the State department of health, upon blanl^ 
supplied for that purpose, a list of all cases of communicable diseases 
mentioned in the preceding paragraph, which have been reported to 
them durmg said period; which report is to contain the name of each 
person suffering therefrorn, respectively, and his or her age, sex, color 
and nativity, together with the name of tlie disease and the date of 
the onset thereof; and in the event of no reports of any of said dis- 
eases having been received by the aforesaid healtli authorities, 
resjiectiyely, during any said period, that fact is required to be 
renorted to tlie State department of health. All superintendents and 
other persons in charge of asylums, hospitals, or other institutions 
located in tOwnshijis of the second class are required, at the end of 
each week, and portion of a week occurring at the end of each month 
to report to the State i epartment of health, on blanks supplied for 
tiat purpose, a list of the inmates of such institutions, respectively 
y ho may have suffered from any of the diseases enumerated in the 
preceding paragraph, together with the above-mentioned data rela- 
^e t o each i nmate, with the date of his or her admission to the insti- 

O' the State depart- 


tution, and the name of the city, borough, or township from which he 
or she was admitted. (Laws, 1909, act 658, sec. 23.) 

Midwives and nurses . — Whenever one or both eyes of an infant 
become inflamed or swollen or reddened at any time within two 
weeks after birth, it is the duty of the midwife or nurse, or other person 
having care of the infant, to report the facts to the health officer or a 
legally qualified practitioner, m writing, within six hours after the 
discovery of the condition. (Public Laws, 1895, p. 373j sec. 1, Pur- 
don’s Digest, 13th ed., p. 1886, sec. 78.) 

PORTO RICO. 

# 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

Island . — The governor appoints a member of the executive council 
to be director of health, cliarities, and corrections. (Laws of 1904, 
p. 89.) The director of health, charities, and corrections appoints 
an insular board of health and a director of sanitation. The director 
of sanitation is the chief sanitary officer of the island and the execu- 
tive officer of the board of health. The chairman of the insular 
board of health is the chief of the bureau of vital statistics. (Laws 
of 1911, act 68, secs. 1-3.) 

Sanitary districts . — For sanitary purposes the island is divided 
into four sanitary districts. Each (fistrict is in charge of a sanitary 
inspector appointed by tlie director of sanitation. (Ibid., sec. 17.) 

Sanitary zones . — Eacli sanitary district is divided into sanitary 
zones. Each zone is in charge of a health officer under the imme- 
diate orders of, and appointed by, the director of sanitation. Each 
sanitary zone has a board of health of three members. (Ibid., secs. 
22-23.) 

Towns . — A sanitary police agent is appointed in each town having 
less than 10,000 inhabitants and at least two in towns having over 
10,000 inhabitants. (Ibid.) 

MORBIDITY REPORTS. 

Notifiable diseases.— Exanihemhtic typhus, typhoid fever, small- 
pox, varioloid, scarlet fever, diphtheria, yellow fever, asiatic cholera, 
bubonic plague, beriberi, epidemic dysentery, cerebro-spinal menin- 
gitis, whooping cough, epidemic parotiditis, malaria, tuberculosis, 
glanders, leprosy, cutaneous syphilis, and hookworm disease, or 
uncinariasis. (Laws of 1911, act 68, sec. 25.) 

Physicians . — Physicians are required to report cases of the above- 
named diseases to the nearest health officer, and all cases of infectious 
or contagious diseases treated by them to the local health officer. 
(Ibid., secs. 25-26.) 

Local health officers . — Health officers are required to ’immediately 
report to the director of sanitation all cases of infectious or conta- 
gious diseases reported to them by physicians. (Ibid., sec. 26.) 

RHODE ISLAND. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — The law provides for a State boarc] of health of seven 
members. The board elects a physician to be secretary, who becomes 


53 


ex officio a member of the board, the commissioner of public health, 
and State registrar. (General Laws of Rhode Island, 1909, ch. 115, 
p. 415.) 

Towns (townships). — The town councils and boards of aldermen 
constitute ex officio boards of health in their respective towns. (Ibid., 
ch. 50, p. 232.) 

The town council is required to appoint a health officer. (Ibid., 
ch. 107, sec. 5.) The cities of Providence and Newport and such 
other towns as may establish a board of health or elect a superin- 
tendent of health are exempt from these provisions. (Ibid., sec. 7.) 

Cities.— The city council of any city may appoint a board of health 
for the city, which may have any or all the powers and duties of the 
board of aldermen as a board of health as the city council may 
determine. (Ibid., ch. 50, p. 232.) 


MORBIDITY REPORTS. 


Physician, ^ householder, etc. — Every householder is required to 
immediately inform the town council of the town wherein he dwells 
of any person in the house or tenement occupied by him who has 
smallpox or any other contagious or infections distemper, or is sus- 
pected of being so affected. Every physician, householder, or other 
person having knowledge of the existence of smallpox in any town is 
required to immediately notify the town clerk, or, in cities, the 
superintendent of health. (General Laws, Rhode Island, 1909 
ch. no, secs. 13, 19.) ' 

Any physician who discovers a case of poliomyelitis, tuberculous 
meningitis, or cerebrospinal meningitis is required to immediately 
report the existence of each and every case to the secretary of the State 
board of health. (Laws 1911, ch. 728, sec. 1.) 

Physicians are to report to the secretary of the State board of 
health within seven days, upon blanks provided by the State board 
tor the purpose, the name, sex, age, color, occupation, social condi- 
tion, and residence of persons under their care affected with pulmon- 
ary or laryngeal tuberculosis. (Acts of 1909, ch. 386, sec. 12.) 

Institutions. The superintendent or other person in charge or 
control of any hospital, school, reformatory, or other institution 
deriving the whole or ay part of its support from the public funds 
ot the State, haying in charge or under his care and custody any per- 
son suffering with pulmonary or laryngeal tuberculosis, is to make 
or cause to be made, witffin 48 hours, a record of name age sex 
color occupation, social condition, and residence of the person 
affected, this information be forwarded each week to the secre- 
tary of the State board of health. (Ibid., sec. 11.) 

mdwives nurses, Midwives or nurses in charge of infants 
under 2 weeks of age are to report to the health officer vnthin 6 hours 
m V riting or to a physician, whenever the eyes of such infant become 
mflamed. (General Laws, 1909, ch. 343, sec. 25.) 

tPr nf ^ to keep a regis- 

ter of a 1 persons known to be affected with laryngeal or pulmonLv 
tuberculosis. (Acts of 1909, ch. 386, sec. 10 ) ^ pulmonary 


54 


SOUTH CAROLUSTA. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 


State. — The State board of health consists of the South Carolina 
Medical Association, together with the attorney and ^ comptroller 
general of the State. The above-named medical association every 
seven years elects seven members to be recommended to the governor 
for aiipointment to cooperate with the State officers named to con- 
stitute an executive committee, having power to act in the intervals 
between sessions of the State board of health. Upon the recom- 
mendation of the executive committee the governor appoints a State 
health officer, who becomes secretary and executive officeiyof the 
State board of health. The executive committee is authorized to 
divide the State into health districts, and in districts in winch there 
are no boards of health it is required to appoint subboards of health. 

The State board of health is invested with authority to direct and 
supervise the action of local boards of health in cities, tov ns, 
townsliips, and may remove members of the local 
for cause. (South Carolina Code, 1902, Title VIII, Ch. XXIII, and 

Act No. 433, 1908.) ^ ^ ^ , 

Cities, towns, and vUUges.—lt is the duty of the mayor or mtend- 
ant of every incorporated city, town, or village to aj^oint a board 
of health, which shall elect a secretary and a health officer. (South 
Carolina Code, 1902, Title \ III, Ch. XXIII.) i -i. • 

The executive committee of the State board has power and it is 
its duty to appoint local boards of health in all unincorporated towns i 
and villages of more than 100 population. (Act No. 82, 1906.) 


MORBIDITY^ REPORTS. 


Notif aUe diseases.— The State board of health is authorized to » 
name tlie diseases it considers contagious and infectious. (Act JNo.. 
395 1910, sec. 4.) The executive committee of the board hasnamedl 
the’folloikng: Tuberculosis, typhoid fever, diphtheria, scarlet fever,, 
smallpox, measles, whooping cough, epidemic cerebrospinal meningi-- 

tis, leprosy, and poliomyelitis. ^ ^ ^ j -x* 

Physicians.— It is the duty of physicians in incorporated cities- 
and towns to report to the secretary of the local board ot health 
within 24 hours cases of contagious or infectious disease occurring^ 
within their practice. Physicians outside of incorporated cities and i 
towns report within 24 hours direct to the secretary of the btatm 
board of health upon blanks furnished by the State board. (Act 

No. 395, 1910, secs. 1, 3.) ^ u + 

Midwives and nurses.— h\ cities having over 1,000 inhabitants 

midwives and nurses are to report at once to the local board ot health 
whenever an infant under their charge has reddened or inflamed eyes. 

(Criminal Code, 1902, sec. 331.) , 

Local hoards of health. —It is the duty of secretaries of local boards 
of health to report to the secretary of the State board of health, not 
later than the 5th day of each month, all cases of contagious and 
infectious disease reported to them during the preceding month the 
report to be made upon blanks furnished by the State board. tAct 
No. 395, 1910, sec. 2.) 


SOUTH DAKOTA. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 


State . — Tlie State board of health consists of five physicians 
appointed by the governor. The board annually elects a superin- 
tendent, who is ex officio secretary of the board. (Political Code, 
1903, secs. 238, 240, as amended by ch. 217, Laws of 1903.) 

Counties . — Provision is made for a county board of health in each 
county, consisting of the State’s attorney of the county, and two 
physicians appointed by the State board of health, one of whom 
shall be superintendent of the county board and ex officio its secre- 
tary; the other shall be vice president of the board. (Ibid., sec. 246.) 

Cities . — City councils have the power to appoint a board of health 
for their respective cities and to prescribe its powers and duties. 
(Ibid., sec. 1229.) 

MORBIDITY REPORTS. 


Physieians. — 'VMieneyer any physician shall know or suspect that 
any person whom he is called to visit has smallpox, scarlet fever, 
diphtheria, measles, cholera, or any other disease dangerous to the 
public health, such physician shall give notice immediately, including 
the location and a full description of the case, to the superintendent 
of the county board of health within whose jurisdiction the case 
occurs. (Regulations State board of health, rule 5.) 

All cases of poliomyelitis, or suspected cases are to be reported 
immediately by the attending physician, or head of the family, to 

the county board of health. (Regulations State board of health 
Sept. 28, 1910.) ’ 

IPuseholders. — Wheneyev Siiiy householder shall loiow or suspect 
that any person in his family or temporarily residing with him is 
sick with smallpox, scarlet fever, diphtheria, cholera, or any other 
disease dangerous to the public health he shall immediately give 
notice to the health officer haying jurisdiction. (Ibid., rule 4.) 

Munieipat health oncers. City and town health officers are reouired 
to record the returns of all contagious and infectious diseases and to 
lorward the returns monthly to the county superintendent of health 
(Ibid., rule 15.) 

County swpennfeWmte.— Superintendents of county boards of 
health are required to report immediately to the superintendent of 
the btate ooard of health whenever any contagious or infectious 

disease occurs in their respective counties. (Political Code 100^ 
sec. 248.) ^ 

TENNESSEE. 


HEALTH ORGANIZATION FOR THE COLLECTION OP MORBIDITY REPORTS. 

yate.— The law provides for a State board of health of three 
physicians, one live-stock breeder, and ex ofhcio the State commis- 
sioner of agncu ture. (Acts of 1897, ch. 46, sec. 1.) 

Counties. The county judge, court clerk, and health officer or jail 

pysician constitute the county board of health, the last named 

Tt^ of the board. (Law passeil Apr. 4, ] 885, sec. 1 .) 

iflil r,L,. county courts in counties having jails to aiiiioint a 

jail physician or health officer. (Ibid., sec. 4.) U 


Cities. — Every municipality having 5,000 or more inhabitants is 
required to organize a board of health. (Laws of 1877.) Boards of 
health of cities and towns have jurisdiction and authority in the 
territory extending 1 mile from the corporation limits, provided 
such jurisdiction shall not extend beyond the limits of the county 
in which the municipality is situated, and provided that where two 
cities lie less than 2 miles apart the distance be divided between 
them. (Laws of 1877, ch. 28, sec. 7.) 

MORBIDITY REPORTS. 

Notifiable diseases. — Smallpox, yellow fever, cholera, bubonic 
plague, typhus fever, dij)htheria, membranous croup, scarlet fever, 
or other communicable disease (except venereal diseases). (Acts of 
1905, ch. 519, sec. 1.) The State board of health by resolution added 
poliomyelitis to the preceding list October 4, 1910. 

The cards issued for the monthly report of contagious diseases 
contain, in addition to the above-named diseases, the following: 
Pulmonary tuberculosis, typhoid fever, cerebrospinal meningitis, 
measles, chicken pox, whooping cough, and pellagra. 

Householders. — Whenever any one of the above-named diseases 
exists, or is suspected to exist in any household, it is the duty of the 
head of the household or any other person in the household having 
knowledge of the facts to immediately notify the municipal or county 
health authorities, (ll)id.) 

Physicians. — It is also the duty of physicians to immediately report 
cases of the above-named diseases to the municipal or county health 
authorities. (Ibid., sec. 2.) 

Nurses, midwives, etc. — Nurses, midwives, or other persons having 
care of infants under 2 weeks of age are to report immediately to the 
health officer or a legally qualified practitioner of medicine whenever 
one or both eyes of an infant become inflamed or reddened. (Acts 
of 1911, ch. 10, sec. 1.) 

Local health authorities.— It is the duty of municipal and county 
boards of health upon receiving information of the existence or sus- 
pected existence of any case of smallpox, cholera, yellow fever, scar- 
let fever, diphtheria, or other disease dangerous to the public health 
to immediately notify the State board of health of the fact, and on 
the first of each month make a written report to the State board 
of health of all cases of communicable disease occurring in their 
respective jurisdictions during the preceding calendar month. (Acts 
of 1905, ch. 519, sec. 11.) 

TEXAS. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — There is a State board of health consisting of seven mem- 
bers appointed by the governor. Each member must be a legally 
qualified practicing physician, who has been in the actual practice of 
medicine in the State of Texas for at least 10 years. One member is 
designated by the governor as State health officer and is the president 
and executive officer of the board. (Laws of 1909, ch. 30, sec. 1.)^ 

The president of the board appoints a registrar of vital statistics 
who is also the secretary of the board. (Ibid., sec. 4.) 


57 


The county and city health officers are under the general direction 
of the State hoard of health to which they are required to make such 
reports as the State board may require. (Ibid., secs. 25, 26, 28.) 

Counties. — It is the duty of the commissioner’s court of each organ- 
ized county to appoint a competent physician to be county health 
officer. (Ibid., secs. 17, 18, 19.) 

Cities. — It it the duty of the city council or the city commissioners, 
as the case may be, of each incorporated city and town witliin the 
State to elect a competent physician to the office of city health officer, 
except in cities where a different method of selecting city health phy- 
sicans is provided for by charter, in which event the office of city 
health officer is to be filled as is provided for that of city physician. 
(Ibid., secs. 21, 22.) 

MORBIDITY REPORTS. 

Notifiable diseases. — The following-named diseases are classed as 
contagious: Asiatic cholera, bubonic plague, typhus fever, yellow 
fever, smallpox, scarlet fever, diphtheria, epidemic cerebrospinal 
meningitis, dengue, typhoid fever, epidemic dysentery, trachoma, 
tuberculosis, anthrax. (Acts of 1909, ch. 30, sec. 10, rule 3, as 
amended by acts of 1911, ch. 95, sec. 1.) 

Physicians, etc . — Physicians are to report in writing or by telephone 
to the local health authority (city or county health officer, or local 
board of health) immediately each patient known to have or sus- 
pected of having a contagious disease. If the disease is pestilential 
III character the physician is to notify the president of the State board 
of health by telegraph or telephone at State expense. (Ibid., rule 1.) 

Every hotel proprietor, keeper of a boarding house, or inn, or house- 
holder, or head of a family in a house wherein any case of reportable 
contagious disease occurs, is required to report such case to the local 
health authority within 12 hours unless previous notice has been given 
by the physician in attendance. (Ibid., rule 23.) 

Midwives, nurses, etc . — Persons not practitioners of medicine are 
to report cases of inflammation of the eyes of infants under their 
care to the local health authority or to a reputable physician within 
12 hours. (Ibid., 10, rule 22.) 

Local health authorities. City and county health authorities are 
required to keep a record of all cases of contagious disease reported to 
them including the name, age, sex, race, and location of the persons 
affected. They are also required to report these cases by the fifth of 
each month for the preceding calendar month to the president of the 
State board of health on blanks furnished by the State board The 
reports on tuberculosis are to be considered confidential (Ibid 
rule 4.) 

UTAH. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

Stoie— The law provides for a State board of health of seven 
menibers appointed by the governor. A majority of the members 

^ engineer. (Compiled Laws 1907, 

sec. lUyo.j 

Counties. Each board of county commissioners is required to 
divide the county, outside of incorporated municipalities, into sani- 


58 


tary districts and to appoint a health officer for each district. The 
district health officers, together with t]ie board of county commis- 
sioners, constitute the county board of health. (Ibid., sec. 1106.) 

Cities.— -It is the duty of the board of trustees or the city council 
of every incorporated town and city to , establish by ordinance a 
board of health of three or more members, one of whom shall, when 
practicable, be a physician and the executive officer of the board and 
be known as the health officer. (Ibid., sec. 1105.) 

MORBIDITY REPORTS. 

Physicians, etc . — It is the duty of every physician or other person 
caring for the sick to report immediately to the local board of health 
cases of scarlet fever, diphtheria, whooping cough, smallpox, typhoid 
fever, measles, tuberculosis, cholera, rubella, cliickenpox, typhus fever, 
plague, cerebrospmal meningitis, poliomyelitis, leprosy, or pneumonia 
coming under liis charge. (Ibid., sec. 1113x11, as amended by laws 
of 1911, ch. 75, sec. 1.) 

Every physician and every superintendent of a hospital or public 
institution is required to immediately report to the State board of 
health every case of tuberculosis which he is called upon to treat or 
which is in such hospital or public institution. (Ibid., sec. 1113x27o) 

All physicians or other persons having knowledge of the existence 
of any contagious or infectious disease, or having reason to believe 
that any such disease exists, are required to report the fact imme- 
diately to the local board of health. (Ibid., sec. 1111.) 

It is the duty of every physician and every superintendent or man- 
ager of a hospital or public institution to immediately report to the 
local board of health every case of venereal disease which he is called 
upon to treat, or which may be in such hospital or institution, and to 
make such reports as may bo called for by the regulations of the 
State board of health. The name of the person affected is not to be 
included in the report. (Laws of 1911, ch. 90, sec. 1.) 

It is the duty of j)hysicians and midwives to report to the local 
board of health within six hours every case where a newly born child 
has inflammation of the eyes attended by a discharge. (Laws 1911, 
ch. 61, sec. 1.) 

Local health authorities . — Local boards of health or health officers 
report to the secretary of the State board of health monthly on or 
before the 5th day of each month all cases of scarlet fever, small- 
pox, diphtheria, membranous croup, typhoid fever, whooping 
cough, measles, cliickenpox, pneumonia, and tuberculosis which 
have occurred in their respective jurisdictions during the preceding 
month. (Compiled Laws, 1907, sec. 1108.) 

Upon receipt of a notification of inflammation of the eyes of a 
newly born child, the local health officer is to report immediately by 
telephone or telegraph to the State board of health. (Regulations, 
State board of health, 1911.) 


59 


VERMONT. 

t 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. — The law provides for a- State board of health of three mem- 
bers appointed by the governor. The board appoints a physician 
as secretary and may also appoint a sanitary engineer and inspector. 
(Public Statutes, 190G, secs. 5409 and 5411.) 

Towns {townships). State board appoints a health officer for 
each town. The health officer, together with the selectmen of the 
town, or the board of aldermen of the city constitutes a local board 
of health for such town or city. (Ibid., secs. 5433 and 5434.) 

MORBIDITY REPORTS. 

Physicians, etc. — Physicians are required to report immediately 
to the local health officer cases of communicable disease dangerous 
to the public health giving the location of the cases, the name of the 
patient, and the degree of virulence, cause, and source of the disease. 
Idle head of a family in whose home there occurs a case of infec- 
tious or contagious disease dangerous to the public health is re- 
quired to immediately notify the local health officers. (Public 
Statutes, 1906, sec. 5454.) 

Physicians are required to report cases of tuberculosis to the sec- 
retary of the State board of health, giving the name and address of 
the person affected. (Ibid., sec. 5450.) 

Nurses, etc. — It is made the duty of the nurse, relative, or other 
person having charge of an infant to report in writing within six 
hours thereafter to the local health officer of the town or city in which 
the parents of the infant reside, whenever one or both eyes of an 
infant become inflamed, swollen, or reddened, and have an unnatural 
discharge at any time within two weeks after its birth. (Regulation, 
State board of health.) 

Local health authorities. — Upon receiving notice of a case of con- 
tagious or infectious disease dangerous to the public health, local 
health officers are to immediately report the facts of the case to the 
secretary of the State board of health. When a communicable dis- 
ease prevails or becomes epidemic, the local health officer is to make 
weekly reports concerning the disease to the State board. (Ibid., 
sec. 5455.) Local health officers are to report to the secretary of the 
State board of health immediately every case of smallpox, varioloid, 
Asiatic cholera, typhus fever or yellow fever occurring within their 
respective jurisdictions. (Ibid., sec. 5453.) 

VIRGINIA. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State. There is a State board of health consisting of 12 members 
appointed by the governor, one from each congressional district and 
two additional from the city of Richmond. The governor also 
appoints a health commissioner who is the executive officer of the 
State board of health, although not a member of the board (Pol- 
lard’s Code, Biennial, 1908, sec. 1713d.) 

Counties, towns, and cities. The State board of health appoints 
annually three physicians of each county or corporation, wdio, with 


60 


the chairman of the supervisors or the mayor of the corporation, as 
^e case may be, constitute a county, town, or city board of health. 
This does not apply to cities or towns whose charters provide for the 
creation of a board of health. Each board elects one of its medical 
members to be secretary and health officer. 


MOKBIDITY REPOKTS. 

Notifiable diseases . — The State board of health is authorized to 
prepare and promulgate from time to time a list of diseases consid- 
ered as infectious, contagious, communicable, or dangerous, and of 
which cases are to be reported, and to prescribe the manner and time 
of the report. (Ibid., sec. 2.) 

In compliance therewith the State board, in rule 30 (effective Nov. 
1, 1910), requires every physician to report immediately to the secre- 
tary of the local board of health having jurisdiction, every case of the 
following-named diseases occurring in his practice: Smallpox, 

Asiatic cholera, bubonic plague, diphtheria, scarlet fever, and yellow 
fever. These diseases are termed reportable diseases. Class I. Rule 
31 (effective Nov. 1, 1910) requires every physician to report to the 
secretary of the local board or health having jurisdiction, once each 
rnonth, cases of the following-named diseases occurring in his prac- 
tice: Typhoid fever, measles, chickenpox, tuberculosis, and hook- 
worm disease. These are termed reportable diseases. Class II. ^ 

Physicians . — Every practicing physician who knows or suspects 
that any jierson whom lie is called upon to visit, or who comes to him 
for examination or treatment, is suffering from any infectious, con- 
tagious, communicable, or dangerous disease is to report in writing, 
on blanlvs to be furnished for that purpose by the State board of 
health, to the executive officer of the board of health of the county, 
town, or city in which such person may be located, over his or her 
own signature, stating the name of the disease, and name, color, 
sex, and age of tlie jierson suffering therefrom, together with the 
street and number or such other sufficient designation of the house, 
rooni, or other place in which said person may be located, and 
giving such other information as may be deemecl necessary by said 
health authorities. (Acts of 1910, ch. 307, sec. 1.) 

Local health authorities . — It is the duty of the local authorities of 
the cities, towns, and counties of the State to report weekly to the 
State board of health all cases of infectious, contagious, communica- 
ble, or dangerous diseases which have occurred within their respective 
jurisdictions, except that it shall be their duty to report immediately 
any case or cases of small])ox, yellow fever, cholera, tvphus fever, or 
bubonic plague that may occur. (Acts of 1910, ch. 340, sec. 7.) 


WASIIINGTOlSr. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 


State . — There is a State board of health of five members appointed 
by the governor. (Ballinger’s Code, ch. 10, sec. 2956.) These five 
so appointed elect a physician, who may or may not be a member of 
the board, to be State commissioner of health. The State commis- 
sioner of health is ex officio secretary and executive officer of the 
State board of health. (Acts of 1909, ch. 208, secs. 1, 2.) 


1 Poliomyelitis was made notifiable during the early part of 1911. 
Health, Oct. 31, 1911.) ^ 


(Letter, State Commissioner of 


61 


Tile State board of healtli may remove from office any health offi- 
cer who refuses or neglects to make prompt and accurate reports to 
the county health officer or to the State board of health, and any 
oliicer thus removed may not again be reappointed, except with the 
consent of the State board. (Acts of 1907, ch. 85, sec. 5.) 

Counties . — The board of county commissioners in each county con- 
stitutes a county board of health having jurisdiction throughout the 
county, excepting in cities of the first class (cities having a popula- 
tion of over 20,000). This board appoints a physician as health 
officer, who becomes ex officio a member of the board and its execu- 
tive officer. (Ibid, sec. 1.) 

Cities . ^ — The mayor of each incorporated city and town is required 
to appoint a physician as health officer of the city or town. This, 
however, does not ajiply to cities of the first class (cities with over 
20,000 inhabitants). Nor does it apply to cities of the second class 
(cities with between 10,000 and 20,000 inhabitants) having a board 
of health, in which the health officer is appointed by the board of 
health. (Ibid, sec. 2.) 

In cities of the first class, except in those having a board of health 
organized and a health officer appointed under the provisions of a 
special charter, the council organizes as a board of healtli, or appoints 
wholly or partially from its own members a suitable number of per- 
sons to act as such a board. This board appoints a health officer 
^10 IS ex officio a member of the board and its executive officer! 
(Ballinger’s Code, 1897, sec. 1237.) 


MORBIDITY REPORTS. 

^ diseases.— The State board of health is authorized to des- 

ignate the diseas^ which shall be construed as dangerous, contagious 

or infectious (Remington and Ballinger’s Annotated Codes and 
Statutes, 1910, sec. 5547.) 

The State board of health has declared the following-named diseases 
to be contagious or infectious, and dangerous to the public health 
and as such, to be reported by physicians: Anterior poliomyelitis 
Asiatic cho era, beriberi, chickenpox, diphtheria (or membranous 
croup), epidemic cerebro-spinal meningitis, favus, leprosy measles 
p ague, pellagra, scarlet fever (scarlatina or scarlet rLh)^ smallpox’ 
pulmonary and abdominal tuberculosis, trachoma, typhoid fever 

b3'o?i,“S “-f'Sfea 

earoo°Tr IVhnil.fimI “'^''jy^ban, dobe, Egyptian, Japanese, kan- 
for m’ild W of smallpox^f^ erroneously used 

immediately reported by the attendino' nhvsi- 

cwn or m his absence by the head of the family or househSkler^ to 

1910° p^/ I t ^ ' ' regulations State board of health, 

t^ local health officer having jurisdiction (in cities to the city health 
fficer, outside of cities, to the county health officer) cases^f dan 
gerous, contagious, or infectious diseases, or diseases required by^the 


62 


State board of health to be reported. (Remington and Ballinger’s 
Code, 1910, sec. 5545.) 

Every physician is also to report immediately to the local health 
officer eveiy case of obscure eruptive disease of the nature of which 
he is in doubt. (Rules and regulations State board of health, 1910, 

p. 6.) 

Householders . — Whenever any householder knows that any person 
within his household is affected with an acute disease, accompanied 
with eru])tion of the skin, said householder shall immediately notify 
either the proper health officer or the family physician. (Rules and 
regulations State board of health, 1910, p. 6.) 

City health officers . — All city health officers (except those of cities 
of the first class) are to report immediately in duplicate to the county 
health officer and to the State commissioner of health every new 
outbreak (that is, first case or cases) of any contagious or infectious 
disease within their respective jurisdictions, and thereafter are to 
report weekly all contagious and infectious diseases to the county 
health officer only. If no contagious or infectious disease is present 
within their jurisdictions, report of the fact is to be made to the 
county health officer not less than once each month. (Rules and 
regulations State board of health, 1910, p. 4.) 

Health officers of cities of the first class (having a population of 
over 20,000) make the same reports, and are governed by the same 
rules as the county health officers, unless otherwise specified, and 
communicate directly with the State commissioner of health. (Rules 
and regulations. State board of health, 1910, p. 4.) 

County health officers . — County health officers are to make monthly 
reports of all contagious or infectious diseases to the State commis- 
sioner of healtli, by the 5th day of the month for the preceding cal- 
endar month. Local liealth officers send the original reports received 
or filled out 1)V tliem to the county health officer, who makes and 
keeps a record of each case, and who, in addition to his monthly 
report, forwards therewith to the State commissioner of health the 
original reports of individual cases of typhoid fever, tuberculosis, 
epidemic cerebro-spinal meningitis, anterior poliomyelitis, hookworm 
disease, and pellagra. If no infectious or contagious diseases occur 
during the month, such fact must be reported. 

The county health officer makes his monthly report on blanks 
furnished by the State commissioner of health, and is to indicate 
thereon the geographic distribution of cases within his jurisdic- 
tion, the cities where no contagious or infectious diseases have occurred 
during the month, and cities which have neglected to make reports. 

Immediately upon learning of the first case of Asiatic cholera, 
chicken pox in adults, diphtheria, plague, scarlet fever or scarlet 
rash, smallpox, yellow fever, or typhus fever, within their respective 
jurisdictions, county health officers must notify the State commissioner 
of heaitfi, and after investigation, send a report stating fufly the 
source of infection and probable number of persons exposed from 
this or previously unknown cases, the danger of the disease spread- 
ing, and what measures have been taken for its control; and there- 
after they are to make reports of the course of the disease, as long as 
cases remain, at such intervals as directed by the commissioner of 
health. (Rules and regulations, State board of health, 1910, p. 4.) 


63 


WEST VIROINFA. 

HEALTH ORGAI^ IZATION FOR THE COLLECTION OF MORBIDITY REPORTS- 

State. — The law provides for a State board of health consisting 
of two physicians from each of the five congressional districts of the 
State. (Code of 1906, ch. 150.) 

Counties. — It is made the duty of the county court to nominate 
and the State board of health to appoint three persons in each county 
who, together with the president of the county court and the prose- 
cuting attorney for the county, shall constitute the county board of 
health. One member of this board is to be a physician, who becomes 
the executive officer of the board and the county health officer. The 
county board is to enforce within the county, outside of munici- 
palities, the rules and regulations of the State board of health. 
(Code of 1906, ch. 150.) 

Cities. — It is made the duty of the council of every incorporated 
city, town, or village to nominate, and the State board of health to 
appoint, in each incorporated city, town, or village three persons, 
one of whom shall be a physician, who, together with^the mavor 
and- city solicitor, if there be a city solicitor, constitute" a board^^ of 
health for the municipality, the physician on the board to be health 
officer. The boards of health or incorporated cities, towns, and vil- 
lages are independent of the county board, and are auxiliary to the 
State board of health. 

MORBIDITY REPORTS. 

Physicians. — It is the duty of physicians, where there is a local 
board of health, to report promptly cases of disease of the following 
character: Cholera, smallpox, scarlet fever, diphtheria, tuberculosis, 
and other endemic, epidemic, infectious, and contagious diseases 
(Code of 1906, sec. 4383.) 

City and county hoards of health.— City and county boards of health 
are required to report at least once in every three months to the 
State boaid of health the character of all such infectious, contagious 
and epidemic diseases (enumerated above), and the number of persons 
reported as infected, giving their names. (Ibid.) 

WISCONSIN. 


HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

/S/G^e.—The law provides for a State board of health and vital sta- 
ustics of seven members. (Wisconsin Statutes, 1898, sec. 1404.) 
they elect a secretary, who may be a member of the board If a 
person is elected who is not a member of the board, he becomes a 
member upon election as secretary. (Acts of 1905, ch. 433, sec. 1.) 

Towns (town^ips). The town board of every town is required to 
orgamze as a board of health, and appoint a health officer, who is 

igorfdu 14 executive officer. (Acts of 

The village board or common council of every villa<'e and 
to organize as a board of health, and to app“oint a 

tiTe offic^r'^^Ibffi T member of the board and its^execu- 


64 


MORBIDITY REPORTS. 

Dangerous and contagious diseases . — The State board of health has 
declared the following-named diseases to be ‘‘dangerous and con- 
tagious”: Asiatic cholera (cholerine), yellow fever, smallpox, typhus 
fever, leprosy, bubonic plague, diphtheria, scarlet fever (scarlatina), 
typhoid fever, measles (including rotheln), whooping cough, cerebro- 
spinal meningitis. (Rules Wisconsin State board of health, adopted 
Aug. 7, 1907), and anterior poliomyelitis. (Rules Wisconsin State 
Board of Health, adopted Jan. 28, 1910.) 

Physicians, etc . — Whenever a physician knows or has good reason 
to believe that any person whom he is attending is sick with a “dan- 
gerous, contagious, or inf ectious ” disease, he is required by law to 
immediately report the case in writing to the local board of health, 
giving the nature of the disease and the name, age, sex, and place of 
residence of the person sick. In the absence of an attending physician 
the report is to be made by the head of the family or the person in 
charge of the house or building. (Acts of 1909, ch. 85, sec. 1.) 

Physicians are required to report to the local board of health the 
name, age, and address of ])ersons having any of the above-mentioned 
diseases or tuberculosis, chicken pox, or erysipelas. It is the duty of 
every physician or person, or owner, agent, manager, principal, or 
superintendent of eveiy public or private institution or dispensary, 
hotel, boarding or lodging house, to pport to the local (town, city, or 
village) department of health in writing or to have such a report made 
by some competent person, giving the name, age, sex, occupation, and 
latest address of every person afflicted with tuberculosis, who is in his 
care, or who has come under his observation, wdthin one week. (Acts 
of 1905, ch. 192.) 

Nurses, etc . — When one or both eyes of an infant become inflamed, 
swollen, and red, and show an unnatural discharge at any time within 
two weeks after its birth, the nurse, parents, or other attendant having 
charge of the infant are recjuired to report the case in writing within 
six hours to the local board of health. (Acts of 1909, ch. 59, sec. 1.) 

Local health authorities.— li is the duty of every local health officer, 
upon the appearance of any dangerous or contagious disease within 
ms jurisdiction, to immediately investigate all the circumstances 
attendant upon the appearance of the disease and make a full report 
to the State board of health. (Wisconsin Statutes, 1898, sec. 1412.) 

WYOMING. 

HEALTH ORGANIZATION FOR THE COLLECTION OF MORBIDITY REPORTS. 

State . — The law provides for a State board of health of three mem- 
bers appointed by the governor, one member of the board to be a 
physician, and to constitute the secretary and executive officer of the 
board. (Acts of 1901, ch. 55, secs. 1, 2.) 

Counties . — The State board of health appoints a practicing physi- 
cian in each county to he county health officer. (Ibid., sec. 3.) ^ ^ 

The county health officers are under the direction and supervision 
of the State board of health, and the State board has authority to 
make such rules and regulations for the government and direction of 
county health officers as in its judgment may be best suited to main- 
tain the public health. (Ihid., sec. 18.) 


65 


Tho Stato board or the county health oflicer may appoint an 
assistant county health ollicer in any locality remote from the resi- 
dence of the county health ollicer, whenever the State board of health 
or tho county health ollicer deem it expedient. (Rules and regulations, 
State hoard of health, 1909.) 

MORBIDITY REPORTS. 

Householders , — Whenever any householder knows or has reason to 
believe that any person within his family or household has any com- 
municable disease, he is required to immediately give notice thereof 
to the county health officer or assistant health officer of the county 
within which he resides, such notice to be given at the oliice of the 
health officer within the shortest possible time, and by the most 
direct means of communication. (Rules and regulations. State 
board of health, 1909.) 

Physicians . — Every practicing and licensed physician is required 
to make an immediate report of every case of communicable disease 
occurring in his practice to the county health officer. (Rules and 
regulations. State board of health, promulgated pursuant to sec. 3, 
ch. 99, Laws of 1909.) 

It is the duty of every practicing or licensed physician to report 
immediately to the secretary of the State board of health and county 
health officer by telegram or telephone or in the most expeditious man- 
ner, every case of smallpox, cholera, scarlet fever, diphtheria or con- 
tagious or infectious disease that is a menace to the public health, said 
telegram to be paid by the State board of health. (Compiled Stat- 
utes 1910, sec. 2942.) 

County health ojicer . — Whenever in any county a case of smallpox, . 
cholera, typhoid fever, scarlet fever, diphtheria, or other epidemic 
or contagious or infectious disease is known to exist, it is the duty of 
the county health officer to immediately notify the secretary of the 
State board of health. (Compiled Statutes, 1910, sec. 2936). 

When tjqihoid fever appears on any premises from which milk is 
sold, the health officer shall at once report the same to the State 
board of health. (Rules and regulations. State board of health, 
1909.) 

County health officers are required to report all cases of com- 
municable diseases reported to them to the State board of health. 
(Ibid.) 


93321°— 11 5 


CERTAIN FEATURES PECULIAR TO THE VARIOUS STATE AND 

TERRITORIAL LAWS. 


ALABAMA. 

The ^[edical Association of the State of Alabama constitutes the 
State board of health and elects the State health officer. 

The county medical societies in affiliation with the State associa- 
tion constitute boards of health for their respective counties and are 
the only local boards of health, others being prohibited. The county 
board in each county elects a county health onicer, and a health officer 
for each incorporated city and town. 

Beriberi and Chagres fever are among the notifiable diseases. 

ARKANSAS. 

The jurisdiction of boards of health of cities with over 2,500 inhabi- 
tants extends 1 mile beyond the city limits, except in the time of 
epidemic, when, for quarantine purposes, it extends 5 miles. 

There appears to be no requirement for the reporting of sickness. 

CALIFORNIA. 

Syphilis and gonococcus infection are included among the diseases 
required by law to be reported by physicians to the local health 
authorities and by the local health authorities to the State board of 
health. 

Physicians are required to report to the State board of health 
cases of poisoning by lead, phosphorus, arsenic, or mercury, or their 
compounds, cases or anthrax, and cases of compressed-air illness, 
contracted as a result of the nature of the patient’s employment, 
and are entitled to a fee of 50 cents for each such report. (Acts of 
1911, ch. 485, sec. 1.) 

CONNECTICUT. 

The county health officers are attorneys at law, appointed by the 
judges of the superior court. 


DELAWARE. 

The governor appoints three physicians in each county to be health 
officers of the county. 

FLORIDA. 

Physicians report cases of the notifiable diseases direct to the State 
health officer, or State board of health — cases of yellow fever, smallpox, 
and cholera being reported by telegram at State expense. No State 
provision is made for local health officers or boards, excepting that 
made in the charters of certain cities. 


( 66 ) 


67 


ILLINOIS. 

The council and trustees of cities and villages have for sanitary jnir- 
poses jurisdiction extending one-lialf mile beyond tlie corporation 
limits. 

IOWA. 

Cases of the notifiable diseases are in cities and towns reported to 
the mayor, outside of cities and towns to the clerk of the township. 

KENTUCKY. 

The law specifies that reports of cases of the notifiable diseases 
shall be made to the county board of health or some member of the 
board. 

LOUISIANA. 

The sanitary code specifies that whenever a quarantinable disease 
breaks out within the State the president of the State board of 
health is to immediately notify the health authorities of surrounding 
States and the Surgeon General of the Public Health and ^larine- 
Hospital Service. 

MASSACHUSETTS. 

The State is divided into 14 health districts with a State inspector 
of health in each district. 

MICHIGAN. 

For each complete report of a notifiable disease made by a physi- 
cian to the local health authorities the physician is entitled to receive 
the sum of 10 cents from the township, city, or village in which the 
notice was given. 

For cases of tuberculosis physicians are required to report in addi- 
tion to the name, age, sex, color, nativity, and address of the patient 
also the occupation engaged in at the time the disease was contracted 
and each subsequent occupation engaged in up to the time of recovery 
or death. When a patient recovers, the fact is also to be reported. 

MISSISSIPPI. 

Reports of cases of the notifiable diseases are to be made direct to 
the secretary of the State board of health. 

MISSOUKI. 

There appears to be no State requirement for the reporting of 
sickness by physicians. 

NEVADA. 

There appears to be no requirement for the reporting of sickness. 

NEW JERSEY. 

Physicians attending cases of typhoid fever, dysentery, scarlet 
fever, diphtheria or tuberculosis on any dairy premises where milk is 
produced for sale or distribution, or in any household any member 


68 


of which is employed at such a dairy, are required to report tlie 
cases to the State board of health within 12 hours. 

Physicians and householders are entitled to the sum of ten cents 
for each case of a notifiable disease reported by them. Local 
authorities are entitled to the same amount for each case reported 
by them to the state board of health. 

NEW MEXICO. 

Outside of incorporated cities and towns reports of cases of the 
notifiable diseases are made to the justice of the peace of the precinct. 

NEW YORK. 

The physician or other person who reports a case of a notifiable 
disease is entitled to the sum of 25 cents therefor. 

Health officers of villages and towns are paid by their respective 
village or town a sum not to exceed 20 cents for each case of notifiable 
disease reported by them to the State department of health. 

SOUTH CAROLINA. 

Physicians outside of incorporated cities and towns report case^ 
of the notifiable diseases direct to the secretary of the State board 
of health. 

TENNESSEE. 

Boards of health of cities have jurisdiction and authority in th( 
territory extending for 1 mile beyond the corporation limits. 

UTAH. 

The laws of Utah make the penalty for the wfillf ul violation of th( 
law in regard to the reporting of infectious diseases the cancellatioi 
or revocation of the practitioner’s license. (Utah Compiled Laws 
1907, sec. 1735-1736, as amended by acts of 1911, ch. 93.) 

Physicians are required to report immediately to the local boarc 

of health cases of venereal disease. 

U])on the notification of a case of inflammation of the eyes in i 
newly born child the local health officer is required to report iinmedi 
atelv bv telephone or telegra])h to the State board of health. 


WASHINGTON. 

The State board of health may remove from office any healtl 
officer who refuses or neglects to make prompt and accurate report 
to the county health officer or to the State board of health. 


69 


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STATE AND TERRITORIAL LAWS WHICH REQUIRE 
THE REPORTING OF CASES OF SICKNESS. 


Compiled in the bureau from the statutes of the several States 
and Territories, as found in the Law Library of Congress, and from 
copies of recent laws transmitted by special request by the respec- 
tive State health authorities. 


ALABAMA. 

[Code of 1907.] 

Sec. 703. It shall be the duty of county boards of health: 

(a) To * * * enforce the law for the collection of vital and mortuary statistics. 
******* 

Sec. 706. It shall be the duty of the health officer of a county: 

(a) To keep * *• * also, a book to be styled “The Register of Infectious Dis- 
eases,” in which book he shall register, so far as reported to him, the name, age, sex, 
color, race, occupation, and place of residence, together with such other details as 
may be required by said regulations, of all persons who may be attacked by any of 

the diseases enumerated in section seven hundred and sixteen of this code; * * *. 
******* 

(h) To make to the State health officer prompt report of the presence in the county, 
so far as reported to him , or has come to his knowledge, of any of the diseases enumerated 
in section seven hundred and sixteen of this code, furnishing such information and 
at such intervals as the State health officer may require. 

******* 

Sec. 710. It shall be the duty of the health officer of a municipality: 

(a) To keep, under regulations prescribed by the State board of health * * * a 
book to be styled “The Register of Infectious Diseases,” in which he shall register, so 
far as reported to him, the name, age, sex, color, race, occupation, and place of residence, 
together with such other details as may be required by said regulations, of all persons 
who may be attacked by any of the diseases enumerated in section seven hundred and 
sixteen of this code ; * * *. 

******* 

(y) To make to the mayor and council of the municipality, to the committee of 
public health of the county board of health, and to the State health officer prompt 
reports of the presence in the municipality of any of the diseases enumerated in 
section seven hundred and sixteen of this code, furnishing such information and at 
such intervals as said authorities may require; * * *, 

******* 

Sec. 714. Every physician who is called to a case of any of the diseases named in 
section seven hundred and sixteen of the code shall, as soon thereafter as can be done, 
make a report thereof to the county, city, or town health officer in whose jurisdiction 
the case is located, specifying the name of the patient, the locality of the patient, the 
character of the disease, together with such other details as will furnish adequate 
information of the conditions and surroundings. 

(109) 


110 


Sec. 715. Whenever a disease appears in a county, incorporated city, or town, 
suspected by any physician, or midwife, or by any person on whose premises such 
sick person is, of being one of those enumerated in the next succeeding section, such 
physician, or midwife, or such person, shall report his or her suspician to the health 
officer having jurisdiction over the locality where such case appears, * * *, 

Sec. 716. Should the disease prove to be leprosy, cholera, typhus fever, cerebro- 
spinal meningitis, or spotted fever, yellow fever, scarlet fever, bubonic plague, hydro- 
phobia, glanders, smallpox, diphtheria, pulmonary tuberculosis, typhoid fever, Chagres 
fever, beriberi, or of other nature believed to be grave and at the same time conta- 
gious, infectious, or pestilential in character, or if the disease be known to be either one 
of those just enumerated and be so reported, the health officer of the county, city, or 
town shall promptly notify in writing the probate judge and commissioners or board of 
revenue of the county, the mayor or intendant, and the council of the city or town, 
according to the location of the disease, of the presence and extent of prevalence of 
the disease, * * *. 

******* 

Sec. 7049 (as amended by ch. 446, Acts of 1911). Any head of a family, or other 
person, upon whose premises a case of infectious or pestilential disease occurs, which 
is not under the charge of a physician, who refuses or willfully fails to report the same 
as promptly as can be done, to the health officer, county or municipal, in whose 
jurisdiction the case is must, on conviction, be fined not less than five nor more than 
twenty-five dollars. 

Sec. 7052. (as amended by ch. 446, Acts of 1911.) Any physician being called upon 
to treat a case of infectious or pestilential disease or to whose knowledge the existence 
of such case comes, who refuses or willfully fails to make to the health officer, county 
or municipal, in whose jurisdiction the case is located, a full and prompt report 
thereof, specifying the character of the disease, the name and locality of the patient, 
together with such other details as may be required by the state board of health, must, 
on conviction, be fined not less than ten nor more than fifty dollars. 

ARIZONA. 

[.'Vets of 1903, ch. 65.] 

Sec. 7 . * * * The county superintendent of health shall keep a record of all 

the proceedings of the board and of his official acts, and he shall, at the end of every 
month, make a full report in writing to the superintendent of public health of the 
proceedings of the county board of health and of his official acts, and shall, whenever 
the health of persons is in danger, and when any contagious and infectious disease 
occurs in his county among persons, immediately report the same to the superin- 
tendent of public health. 

******■><• 

Sec. 24. WTienever it shall come to the knowledge of any physician or other person 
that a contagious, epidemic, or infectious disease exists within the jurisdiction of any 
local board he shall immediately report to such board in writing the name and place 
of residence, if known, of every person afflicted with such disease, and if he is the 
attending physician of such person he shall report not less than twice in each week the 
condition of each person so afflicted and the state of such disease. 

* Hs * * * * * 

Sec. 26. Each keeper of any private house, boarding house, lodging house, inn or 
hotel shall report, in writing, to the local board of health within whose jurisdiction 
the same may occur, each case of contagious, infectious, or epidemic disease which 
may occur in his house, inn, or hotel. Such report shall be made within twenty-four 
hours after the existence of such disease shall have become known to such person and 
shall state the name of each person afflicted with such disease and the nature thereof. 

^ H: * * * * 


Ill 


Sec. 31. It shall be the duty of each local board of health when it shall come to its 
knowledge that a case of smallpox, scarlet fever, diphtheria, or other infectious or 
contagious disease exists within its jurisdiction immediately to examine into the facts 
of the case * * * and shall immediately notify the Territorial board of health of 
the existence and nature of such disease and of the measures adopted by it with refer- 
ence thereto. 

ARKANSAS. 

[Digest of Statutes, 1904. (Kirby.)] 

Sec. 540. It shall be the duty of the State board of health to have general super- 
vision of the State system of * * * the registration of prevalent diseases, said 
board shall prepare the necessary methods and forms for obtaining and preserving 
such records and to insure the faithful registration of the same in the several counties. 

* * * The secretary of said State board of health shall be the superintendent 
of registration of vital statistics of the State. * * * 

CALIFORNIA. 

[ Political Code, 1909. (Deering.)] 

Sec. 2979a (as amended by sec. 1, ch. 250, Laws of 1911). It is the duty of each coroner 
and of every county, city and county, city or town health officer, and every member 
of the local board of health knowing or having reason to believe that any case of 
cholera, plague, yellow fever, leprosy, diphtheria, scarlet fever, smallpox, typhus fever^ 
typhoid fever, anthrax, glanders, epidemic cerebro-spinal meningitis, tuberculosis, 
pneumonia, dysentery, erysipelas, uncinariasis or hookworm, trachoma, dengue, teta- 
nus, measles, German measles, chickenpox, whooping)cough, mumps, pellagra, beriberi, 
gyphilis, gonococcus infection, rabies, poliomyelitis, or any other contagious or infec- 
tious disease exists, or has recently existed, within the city, county, city and county, 
town or township of which he is such officer, * * * to report at once in writing 
such cases to the secretary of the State board of health at Sacramento. 

It is also the duty of every attending or consulting physician, nurse, or other per- 
son having charge of or caring for any person afflicted with any of said contagious 
diseases to report at once in writing to the local board of health or local health officer 
the nature of the disease, the name of the person afflicted, and the place of his or her 
confinement; provided, however, that syphilis and gonococcus infection shall be 
reported by office number only. 

******* 

Sec. 2984. * * * It shall be the duty of such board of health or chief executive 
health officer to report in writing to the State board of health on or before the fifth 
day of each month all infectious, contagious, and communicable diseases in man or 
beast which shall come to their or his knowledge upon blanks furnished by the State 
board of health. Said board of health or chief executive health officer, where there 
is no board of health, in cases of local epidemic of disease shall report to the State 
board of health all facts concerning the disease. * * * 

******* 

Sec. 3061. * * * Every local board of health established in this State must: 

******* 

Second. Report to the secretary of the State board of health, at Sacramento, at 
such times as the State board of health may require: 

******* 

(c) The presence of epidemic or other dangerous, contagious, or infectious disease 

* * * 

[Acts of 1907, ch. 492.] 

Sec. 11. It shall bo the duty of every county, city and county, municipal, town, 
or other health officer or inspector to enforce diligently within the county, city and 


112 


county municipality, town or district of which he is such health officer all State 
laws pertaining to health and sanitary matters; and all orders, rules, and regulations 
concerning health, * * * prescribed or directed by the State board of health, 
and all local ordinances, resolutions, orders, and regulations concerning health of 
the board of supervisors, which shall not be in conflict with the general laws or the 
orders, rules, and regulations of the State board of health. 

Said health officers shall report to the State board of health all violations of the 
State health laws and all violations of the State laws relating to registration of births, 
marriages, and deaths which shall come to their knowledge. 

Every county health officer and every city and county, city, or town board of 
health, or chief executive health officer thereof, shall report in writing to the State 
board of health regularly on or before the fifth day of each month, and also whenever 
requested by the State board of health or its secretary, all infectious, contagious, and 
communicable diseases in man or beast which shall come to his knowledge upon 
blanks furnished by the State board of health; and he shall, in cases of local epidemic 
of disease, report at such times as shall be requested by the State board of health, or 

its secretary, all facts concerning the disease. * * * 

******* 

Sec. 13 (as amended by sec. 3, ch. 339, Laws of 1911). The following rules and re- 
quirements shall be strictly observed in all cases of quarantine, subject, however, to 
such changes and modifications as the State board of health or its secretary may 
otherwise require and direct. 

Rule 1 . — * * * Said health boards or officers must, within twenty-four hours 
after quarantine, report fully, in writing, to the secretary of the State board of health 
all of such cases quarantined: Provided, hou'ever, That said health officers shall imme- 
diately report by telegraph to said secretary of the State board of health every case 
discovered or known of plague, Asiatic cholera, yellow fever, or typhus fever, and 
after investigation and within twenty-four hours shall report the cause, source, and 
extent of contagion and infection, and all acts done and measures adopted in each case, 
and shall make such further reports as the secretary of the State board of health may 
require. 

Rule 2 . — In addition to the list of quaran finable diseases given in rule 1 of this sec- 
tion the following is a partial list of contagious, infectious, and communicable dis- 
eases, all of which, though not required to be quarantined, must be promptly reported 
in writing to the State board of health or its secretary by the said local health boards 
or chief executive health officers, viz: Chicken-pox, erysipelas, pneumonia, uncin- 
ariasis or hookworm, epidemic cerebro-spinal meningitis, trachoma, whooping-cough, 
mumps, dengue, dysentery, tuberculosis, typhoid fever, tetanus, malaria, leprosy, 
measles, German measles, glanders, and anthrax affecting human beings, rabies, pel- 
lagra, beriberi, syphilis, gonococcus infection, and poliomyelitis, and any disease which 
appears to have become epidemic. * * * This list can be changed at any time 

by the State board of health or its secretary. 

******* 

Sec. 16. All physicians, nurses, clergymen, attendants, owners, proprietors, man- 
agers, employees, and persons living in or visiting any sick person in any hotel, lodging 
house, house, building, office, structure, or other place where any person shall be ill 
of any infectious, contagious, or communicable disease, shall promptly report such fact 
to the county, city and county, city, or other local health board or health officer, 
together with the name of the person, if known, and place where such person is confined 
and nature of the disease, if known. 

******* 

Sec. 21 (as amended by sec. 4, ch. 339, Laws of 1911). Any person violating any of 
the provisions of this act, whether acting for himself or as the agent or servant of another 
person, or of a firm, company, or corporation, or as an officer, agent, employee, or rep- 


113 


resontative of any municipal corporation, or of the State shall be guilty of a misde- 
meanor, and upon con\'iction shall be punished by a fine of not less than twenty-five 
nor more than five hundred dollars, or by imprisonment for a term of not more than 
tiinety days, or by both such fine and imprisonment. Each day that in violation of 
my provision of this act shall continue, and each day that any thing forbidden by the 
terms hereof to be erected, constructed, maintained, operated, or permitted, shall con- 
tinue to exist, or be maintained, operated, or permitted, shall constitute a separate 
3ffense. 

[Acts of 1911, Ch. 485.] 

Section 1. Every medical practitioner attending on or called in to visit a patient 
whom he believes to be suffering from lead, phosphorus, arsenic or mercury or their 
[compounds, or from anthrax, or from compressed air illness, contracted as a result of 
the nature of the patient’s employment shall send to the State board of health a notice 
stating the name and full postal address and place of employment of the patient and 
the disease from which, in the opinion of the medical practitioner, the patient is 
suffering, and shall be entitled in respect of every bona fide notice sent in pursuance 
^f this section to a fee of fifty cents, to be paid as part of the expense incurred by the 
State board of health in the execution of this act. 

Sec. 2. If any medical practitioner, when required by this act to send a notice, 
wilfully fails forthwith to send the same, as provided by this act, he shall be guilty 
3f a misdemeanor, and upon conviction of the same shall be fined not more than ten 
dollars. 

Sec. 3. It shall be the duty of the State board of health to enforce the provisions of 
this act, and it may call upon local boards of health and health officers for assistance 
md it shall be the duty of all boards and officers so called upon for such assistance to 
render the same. It shall furthermore be the duty of said State board of health to 
transmit such data to the commissioner of the bureau of labor statistics. 

COLORADO. 

[ Revised Statutes, 1908.] 

Sec. 5025. If a conductor of any railroad discovers on his train a person suffering 
from cholera, smallpox, diphtheria, scarlet fever, or any other contagious disease, he 
shall at once communicate, either by telegraph or telephone, with a local railroad 
official located nearest the point at which the case is discovered, giving the number 
of his train, the number of the car, the name of the patient, and the nature of the 
disease suspected. The railroad official so informed must at once give the same intel- 
ligence to the nearest member of the State board of health or to the local health officer 

of his own town or city. 

* 1 ^ 

Sec. 5070. Whenever any householder shall know that any person within his 
family is taken sick with smallpox or any other disease dangerous to the public health, 
he shall immediately give notice thereof to the board of health or health officer of the 
town, city, or county in which he resides; and if he shall refuse or neglect to give such 
notice he shall upon conviction be fined in a sum not exceeding one hundred dollars. 

Sec. 5072. Whenever any physician shall know that any person whom he is called 
to visit, or who is brought to him for examination, is infected with smallpox, cholera, 
diphtheria, scarlet fever, or any other disease dangerous to public health, he shall im- 
mediately give notice thereof to the health officer, the president or the clerk of the 
board of health of the county, town, or village in which the sick person may be, and 
to the householder, hotel keeper, keeper of a boarding house, or tenant within whose 
house or rooms the sick person may be. The notice to the officer of the board of 


93321°— 11 8 


114 


health Bhall state the name of the disease, the name, age, and sex of the person sick, 
also the name of the physician giving tlie no1«ce, and shall, by street and number or 
otherwise, siifficienfly designate the house or room in which said sick person may be; 
and every physician, and person acting as a physician, who shall refuse or neglect . 
immediately to give such notice, shall for each offense, upon conviction, be fined in a 
sum not less than five nor more than one hundred dollars: Provided, That this penalty 
shall not be enforced against a physician if another physician in attendance has given 
to the health officer hereinbefore mentioned an immediate notice of such sick person, 
and the true name of the disease, in accordance with the requirements of this section. 

Sec. 5073. Whenever the health officer of any county, city, or village in this State 
shall receive reliable notice, or shall otherwise have good reason to believe that there 
is within the* county, city, or village of which he is the health officer, a case of smallpox, 
diphtheria, scarlet fever, or other communicable disease dangerous to the public health, 
it shall be the duty of the health officer, unless he is or shall have been instructed by ' 
the board of health, of which he is an executive officer, to do otherwise; * * * to 
promptly notify teachers or superintendents of schools concerning families in which are 
contagious diseases; * * * to keep the president of his own board of health and 
the secretary of the State board of health constantly informed respecting every out- 
break of a disease dangerous to the public health, and of the facts, so far as the same 
shall come to his knowledge, respecting sources of danger of any such diseased person 
or infected article being brought into or taken out of the county, city, or village of 
which he is the health officer. 


CONNECTICUT. 

11 General Statutes, 1902.] 

Sec. 2508. When in any town, city, or borough, a case of smallpox, cholera, or any 
epidemic of infectious disease is known to exist, the local health officer of such town, 
city, or borough shall immediately notify the secretary of the State board of health 
of the existence of the same, with such facts as to its cause and continuance as may 
be known. Every person violating this section shall be fined not more than twenty- 
five dollars. 

* * * * • * * * 

Sec. 2532. * * * The health officer of every town, city, and borough shall, on 
or before the eighth day of each month, make a report to the State board of health 
of all contagious diseases reported to him during the month preceding. 

******* 

Sec. 2534. Every physician shall report in writing every case of cholera, yellow 
fever, typhus fever, leprosy, smallpox, diphtheria, membranous croup, typhoid fever, 
scarlet fever, or other contagious or infectious disease, except those of a venereal 
nature, occurring in his practice, to the health officer of the town, city, or borough m 
which such case occurs, within twelve hours after his recognition of the disease. 
Every person who shall violate any provision of this section shall be fined not more 
than twenty-five dollars. 

Sec. 2535. Should one or both eyes of an infant become inflamed or swollen, or 
reddened at any time within two weeks after its birth, the midwife, nurse, oi attendant 
having charge of such infant, shall report m writing, within six hours, to the health 
officer or board of health of the city, town, or borough in which the parents of the 
infant reside, the fact that such inflammation, swelling, or redness of the eyes exists. 
Every person violating the provisions of this section shall be fined not more than two 
hundred dollars. 

Sec. 2546. Every hotel or lodging-house keeper, in whose house any lodger becomes 
sick of any malignant or contagious disease, shall within twelve hours after such 
lodger becomes sick report in writing to the board of health or health officer the name 
of such person if known and the nature of his disease. 


115 


[Acts ofl907, ch. 170.] 

Sec. 1. The health officer or board of health of any town, city, or borough shall, 
within twenty-four hours after having received information of the existence or sup- 
pOvsed existence wdthin such town, city, or borough of the infectious disease known as 
rabies, give notice thereof to the commissioner on domestic animals. * * * 

[Acts of 1909, ch. 79,] 

Sec. 1. Tuberculosis is hereby declared to be an infectious and communicable 
disease dangerous to the public health. It shall be the duty of every physician to 
report in writing the name, age, sex, color, occupation, place where last employed, if 
know'll, and address of every person under his care known by such physician to have 
tuberculosis, to the health officer of the city, town, or borough in which such person 
resides, within twenty-four hours after such fact comes to the knowledge of such 
physician, and it shall be the duty of the officer in charge of any hospital, dispen- 
sary, asylum, or other similar institution to report in like manner concerning every 
patient having tuberculosis who comes under care or observatiom of such officer, 
within twenty-four hours thereafter. 

DELAWARE, 

[ Acts of 1899, ch. 240.] 

Sec. 4. All physicians, dentists, veterinary surgeons, or others practicing medicine 
Dr surgery or any branch thereof under the laws of this State shall be required to give 
prompt notice to the local or State board of health of any and all cases of contagious 
Dr infectious diseases that may come under their professional notice. * * * 

[Acts of 1893, ch. 642.] 

Sec. 11. (Added by sec. 6, ch. 327, Acts of 1903.) It shall be the duty of the 
boards of health authorities, and of physicians in rural districts or other localities 
where there are no health officials, to report to the board of health of the State of Dela- 
ware the existence of any case of contagious or infectious diseases which may come 
Linder their observation. * * * 

[Acts of 1879-81, ch. 345.] 

Sec. 17, (Added by sec. 3, ch. 328, Acts of 1903.) Every physician or other per- 
son having knowledge of any person who is suffering any disease dangerous to the 
public health, which the State board of health may require to be reported, shall report 
the same to the health board or official nearest his place of residence, giving the 
aame, age, sex, and color of the patient and the house or place where he or she may be 
found. * * * 

DISTRICT OF COLUMBIA. 

[29 Stat. L., p. 635.] 

For the purposes of this act the term “contagious disease” shall be held to mean 
A.siatic cholera, yellow fever, typhus fever, smallpox (including varioloid), leprosy, 
the plague, and glanders, or any of these diseases by whatever name it may be desig- 
Dated; the term “case of contagious disease ” shall be held to mean any person suffering 
Torn any such disease. Any person shall be held to be suffering from a contagious 
disease who is so infected by such disease as to be capable of transmitting it to others, 
rhe presence of the ordinary clinical symptoms of any contagious disease shall be 
pnma facie evidence that such case is or was such a disease ; and the presence in such 
Dase of the specific bacteria of such disease shall be conclusive evidence that such case 
L8 or was such disease. The provisions of this act shall apply to every ship, vessel, 
steamer, boat, or craft lying or being in the rivers, harbors, or other waters within the 


116 


jurisdiction of said District, and to every tent, van, hovel, barn, outhouse, cabin, or 
other place in said District. The term “person in charge of a case of contagious 
disease ” shall be held to mean, first, the head of the family in which such case belongs, 
second, in his absence or disability or in case he be the person sick, the nearest rela- 
tive or relatives of such case present on the premises where such case is, and being in 
attendance on him; third, in the absence of such relatives everyone in attendance on 
such person; fourth, in the absence of anyone so in attendance, everyone in charge of 
the premises where such person is. 

Sec. 2. Every physician attending on or called in to visit, or examining any case 
of contagious disease in the District of Columbia, shall * * * at once send to the 
health officer of said District a certificate signed by him, which said certificate shall 
state the name of the disease and the name, age, sex, and color of the person suffering 
therefrom and shall set forth by street and number, or otherwise sufficiently designate 
the house, room, or other place in which said person may be located, together with 
such other reasonalde information relating thereto as may be required by said health 
officer. * * * 

* * * * * '+ 

Sec. 4. Whenever any person in said District is suffering from any contagious 
disease, or suspected of being suffering from such disease, and no physician is in attend- 
ance on or called in to visit, or examine such person, it shall be the duty of the person 
in charge of such case * * * to send to said health officer certificates relative 
thereto, in the same manner as is required by this act of physicians attending on or 
called in to visit, or examining like cases. 

[34 Stat. L., p. 889.] 

Every person in charge of any patient in the District of Columbia who is suffering 
from diphtheria, scarlet fever, measles, whooping cough, chicken pox, epidemic 
cerebro-spinal meningitis, or typhoid fever, immediately after becoming aware of the 
existence of such disease, shall send to the health officer of said District a certificate 
written m ink, signed by such person, stating the name of the disease, the name, age, 
sex, and color of the person suffering therefrom, and the school, which he or she has 
attended, if any, and setting forth by street and number, or by other sufficient desig- 
nation, the location of the house, room, or other place in which said patient can be 
found. When said patient recovers, or dies, said person in charge, as soon as possible 
thereafter, shall send to the health officer of said District a certificate, written in 
ink, certifying to that fact. But no person shall certify knowingly or negligently 
that any person has recovered from any disease aforesaid until such patient is in such 
condition as to be free from danger of communicating the disease from which he is 
suffering to other persons. 

Sec. 2. The term “person in charge of any patient,” as used in this act, shall be 
held to mean, first, each physician in attendance on, called in to visit, or examining 
a patient, unless called in to visit or examining the patient solely as a consultant to 
a physician already in attendance; second, in the absence or disability of any physi- 
cian aforesaid, or in event of default on the part of such physician, the head of the 
family to which the patient belongs; third, in the absence or disability of such per- 
son, or in event of default on the part of the physician aforesaid, the nearest relative 
or relatives of such patient present on the premises and in attendance on such patient; 
fourth, in the absence or disability of all persons aforesaid, or in event of default 
on the part of the physician aforesaid, every person in attendance on such patient. 
And in the cases of physicians and of persons acting in the capacity of physicians, 
attending, visiting, or examining any patient suffering from any disease aforesaid, 
shall be prima facie evidence that any person so doing was aware of the nature of such 
disease. 


117 


[35 Stat. L., p. 126.] 

It shall b© th© duty of ©v©ry physician in th© District of Columbia to report in 
■writing!; to th© health officer of said District, within one week after the disease is recog" 
nized, on forms to be provided by said health officer, the name, age, sex, color, occu- 
pation, and address of every person under his care in said District, who, in his opinion , 
is affiicted with pulmonary or other communicable form of tuberculosis. It shall 
also be the duty of the officer having charge for the time being of each and every 
hospital, dispensary, asylum, or other similar public or private institution in said 
District to report in like manner the name, age, sex, color, occupation, and last 
address of every person who is in his care or who has come under his observation 
within one week of such time who, in his opinion, is afflicted with pulmonary or 
other communicable form of tuberculosis. 

FLORIDA. 

[General Statutes, 1906.] 

Sec. 1114. It shall be the duty of every practicing or licensed physician in the 
State of Florida to report immediately to the president of the board of health, by 
telegram or in the most expeditions manner, every case of yellow fever, smallpox, 
or cholera that comes within his practice, such telegram to be paid for out of the 
funds provided for the expenses of said board of health. 

jjc 

Sec. 114G. Whenever a physician or other person shall report a suspicious case 
of disease to the State board of health as required by the provisions of section 3619 
of the General Statutes of Florida, he shall also immediately give notice thereof to 
the city health officer, if there be any health officer, and if not to the mayor of the 
incorporated city or town in which the sick person may be; or if the sick person 
resides or be found outside of the limits of a city or town, to the county health physi- 
cian or his representative, if there be any, and if not, to the chairman of the county 
commissioners of the county within which the sick person may be. 

***:!<*** 

Sec. 3619. WTioever, being a licensed or practicing physician, fails to report imme- 
diately to the president of the State board of health by telegram (to be paid for out of 
the funds to be provided for the expenses of the said board of health), or in the most 
expeditious manner, every case of yellow fever, smallpox, or cholera that comes 
within his practice, shall be punished by imprisonment not exceeding six months, 
or by fine not exceeding one thousand dollars. 

Sec. 3620. Any physician, city health officer, mayor, county health physician, 
or chairman of the board of county commissioners, who shall neglect or fail to com- 
ply with the provisions of sections eleven hundred and forty-six to eleven hundred 
and forty-eight, shall, upon conviction, be liable to a fine of one hundred dollars or 
imprisonment for thirty days. 

GEORGIA. 

[ Penal Code of 1895.] 

Sec. 499. Any physician or other person who shall conceal a case of smallpox, or 
varioloid, or any modification of the same, within any incorporated city, town, or in 
any county, by not giving immediate notice thereof to the mayor, intendant, or 
health officer, or ordinary, shall be punished as for a disdemeanor. 

* * * * * * * 

[Political Code of 1895.] 

Sec. 1468. Any physician or other person who shall conceal a case of smallpox, or 
varioloid, or any modification of the same, within any incorporated city, town, or in 
any county in this State, by not giving immediate notice thereof to the mayor, intend- 
ant, or health officer, or ordinary, may be indicted. 


11 ^ 


[Acts of 1903, ch. 453.] 

Sec. 5. It shall be the duty of the local boards of health and of physicians in locali- 
ties where there are no health authorities, to report to the State board of health 
promptly upon the discovery thereof, the existence of any of the following diseases, 
to wit: Asiatic cholera, yellow fever, scarlet fever, smallpox, diphtheria, typhus orr 
typhoid fever, and of such other contagious or infectious diseases as the State board] 
of health from time to time may specify. * * * 

HAWAII. 

[Revised Lav.'S, 1905.] 

Sec. 988. * * * Said board (Territorial board of health) shall also, during the= 

prevalence of any severe pestilence, or epidemic, publish a weekly report of the 
public health. 

******* 

Sec. 1004. (As amended by Laws of 1911, act 125, sec. 1.) Physicians to report. 
It shall be the duty of every physician having a patient infected with cerebro-spinal 1 
meningitis, cholera asiatic, conjunctivitis follicular, diphtheria, dysentery amoebic, 
enteric (or typhoid) fever, fever para-typhoid, leprosy, measles, dengue, paralysis- 
infantile, pertussis, plague, scarlet fever (or scarlatina), tetanus, trachoma, tuber- 
culosis, typhus fever, varicella, variola, varioloid, yellow fever, or any otheri 
infectious or communicable or other disease dangerous to the public health to 
give immediate notice thereof to the board of health or its nearest agent, ini 
writing, and in like manner to report to said board or its agent every case of death . 
which takes place in his practice from any such disease; provided, however, thati 
whenever a physician has a jiatient infected with variola, varioloid, scarlet fever, 
diphtheria, plague, cholera, yellow fever, typhus fever, cerebro-spinal meningitis or 
amoebic dysentery, such physician, in addition to the notice in writing required to be 
given as above, shall immediately notify the board of health or its nearest agent 
either by telephone or by direct oral communication. Every physician who shall 
refuse or neglect to give such notice or to make such report shall be fined for each 
offense a sum not less than ten nor more than one hundred dollars. 

Sec. 1005. (As amended by Laws of 1911, act 125, sec. 2.) Others to report. If 
shall be the duty of every householder, keeper of a boarding or lodging house,, 
or master of a vessel to report immediately to the board of health or its nearest: 
agent any pernon in or about his house or vessel whom they shall have reason to 
believe to be sick or to have died of any infectious, communicable, or other: 
diseases dangerous to the public health; and all police officers who are aware of 
any person suffering from any infectious, communicable, or other disease dangerous to 
the public health shall immediately report the same to the board of health or its- 
nearest agent. Any such householder, keeper of a boarding or lodging house, master of : 
a vessel, or police officer who shall refuse or neglect to so report immediately to the 
board of health or its nearest agent shall be guilty of a misdemeanor and upon con- 
viction shall be fined not more than one hundred dollars for each offense. 

Sec. 1005A. (Added by Laws of 1911, act 125, sec. 3.) Diseases declared infec-' 
tious and communicable: Cerebro-spinal meningitis, cholera asiatic, conjunctivitis^ 
follicular, diphtheria, dysentery amoebic, enteric (or typhoid) fever, fever para- 
typhoid, leprosy, measles, dengue, paralysis infantile, pertussis, plague, scarlet’ 
fever (or scarlatina), tetanus, trachoma, tuberculosis, typhus fever, varicella, 
variola, varioloid, yellow fever are hereby declared to be infectious and communi- 
cable diseases dangerous to the public health, but this enumeration shall not be 
held to exclude any other disease that is infectious, communicable, or dangerous- 
to the public health, though not specifically named herein. 

* * * * 


* 


110 


Sec. 1124. It shall be the diitj^ of every police officer or deputy sheriff having reason 
to believe that any person within his district is afflicted with leprosy, to report the 
same forthwith to the agent of the board of health in such district, if any, otherwise, 
to the nearest agent of the board of health. 

Sec. 1125. Any police officer or deputy sheriff who shall wilfully fail to comply 
with the pro\dsions of section eleven hundred and twenty-four shall be deemed 
guilty of a misdemeanor, and upon conviction thereof, shall be fined in a sum not 
less than ten dollars, nor more than two hundred dollars, and shall be dismissed 
from office. 

[ Laws of 1909, Act 81 .] 

Sec. 3. Every person who knows, or has reason to believe, that he, or any other 
person, not already under the care or control of the board of health, is a leper, shall, 
forthwith report to the board (of health) or its authorized agent, that fact and such 
other information relating thereto as he may have and the board may requii'e. 

[Laws of 1911, Act 118.] 

Sec. 7. Reports by physicians and others. It shall be the duty of every physician 
in the Territory to report in writing the name, age, sex, nationality, occupation, place 
where last employed, if known, and address of every person known by said physician 
to have tuberculosis to the board of health or its nearest agent within twenty-four 
hours after such fact comes to the knowledge of said physician. It shall also be the 
duty of the superintendent in charge of any hospital, dispensary, asylum, or other sim- 
ilar private or public institution, to report in like manner the name, age, sex, nation- 
ality, occupation, place where last employed, if known, and previous address of every 
patient having tuberculosis who comes into his care or under his observation within 
twenty-four hours thereafter. 

******* 

Sec. 15. Reporting recovery of patient. Upon the recovery of any person having 
tuberculosis it shall be the duty of the attending physician to make a report of this 
fact to the board of health or its agent, v/ho shall record the same, and shall relieve said 
person from further liability to any requirement imposed by this act. 

IDAHO. 

[Revised Codes, 1908.] 

Sec. 663. The owner, or agent of the owner, of a house in which a person resides who 
has the smallpox, diphtheria, scarlet fever, or any other contagious or infectious dis- 
ease, dangerous to the public health, and the physician called to attend the person 
or persons so affected shall, within twenty-four hours after becoming cognizant of the 
fact, give notice thereof to the clerk of the board of trustees of the school district in 
which said person so afflicted resides. * * * 

******* 

Sec. 1108. Should one or both eyes of an infant become inflamed or swollen or 
reddened, or should any pus or secretion form in the eyes or upon the edge of the lid, 
at any time within two weeks after birth, it shall be the duty of any midwife, nurse| 
or other person having charge of such infant to report, within six hours after discovery 
of such inflammation, redness, or formation of pus or secretion, to the local health 
officers, or to some legally qualified practitioner of medicine in the district in which 
such case shall occur, the fact that such inflammation, swelling, or redness or accumu- 
lation in the eye exists. Any failure to comply with the provisions of this section 
shall be punished by a fine of not to exceed one hundred dollars, or imprisonment 
not to exceed ninety days, or by both fine and imprisonment, in the discretion of the 
court. 


120 


Sec. 1099. Every physician or other person called to attend any person who ie 
suffering from smallpox, cholera, plague, yellow fever, typhus fever, diphtheria, 
membranous croup, scarlet fever, typhoid fever, or any other disease dangerous to the 
public health or required by the State board of health to be reported, shall report the 
same to the health officers within whose jurisdiction such person is found, giving in 
such report the name, age, sex, and color of the patient, and the house or place in 
which such person may be found. * * * In like manner it shall be the duty of 
the head of the family and of the owner or the agent of the owner of the building in 
which a person resides who has any of the diseases herein named or provided against, 
or in which are the remains of a person having died of any such disease, immediately 

after becoming aware of the fact to give notice thereof to the health officer. 

******* 

Sec. 1111. It is the duty of every practicing physician to report promptly to the 
county physician of the county in which he resides, all or any dangerous disease of 
an infectious or contagious nature under treatment by him. * * * Any person 
violating the provisions of this chapter * * * is guilty of a misdemeanor. 

ILLINOIS. 

[ Rev. Stat., 1909, ch. 34.] 

Sec. 117. The said (county and township) boards of health shall have the following 
powers : 

* * ■ * * * * * 

Fifth. To require reports of dangerously communicable diseases. 

[Rev. Stat., 1909, ch. 38.] 

Sec. 510. Should any midvdfe or nurse having charge of an infant in this State 
notice that one or both eyes of such infant are inflamed or reddened at any time within 
two weeks after its birth, it shall be the duty of such midwife or nurse haring charge 
of such infant to report the fact in writing within six hours to the health officer or 
some legally qualified practitioner of medicine of the city, town, or district in which 
the parents of the infant reside. 

Sec. 511. Any failure to comply with the provisions of this act shall be punishable 
by a fine not to exceed one hundred dollars or imprisonment not to exceed six months, 
or both. 

[Rev. Stat., 1909, ch. 126a.] 

Sec. 2. The State board of health * * * shall have authority to make such 
rules and regulations and such sanitary investigations as they may from time to time 
deem necessary for the preservation and improvement of the public health. * * * 
It shall be the duty of all local boards of health, health authorities, and ofiicers, police 
officers, sheriffs, constables, and all other officers and employees of the State, or any 
county, village, city, or township thereof to enforce the rules and regulations that 

may be adopted by the State board of health. 

* * * * * * * 

Sec. 3. The board of health shall * * * make up such forms and recommend 
such legislation as shall be deemed necessary for the thorough registration of vital and 

mortuary statistics throughout the State. * * * 

******* 

Sec. 12. It shall be the duty of the board of health to make an annual report, through 
their secretary, or otherwise in writing to the governor of this State, on or before the 
first day of January of each year, and such report shall include * * * puch infor- 
mation concerning vital statistics, such knowledge respecting diseases * * * as 
may be thought useful by the board for dissemination among the people. * * * 


121 


[Acts of 1911, p. 330.] 

Sec. 2. Every employer in this State engaged in the carrying on of any process of 
manufacture or labor in which sugar of lead, white lead, lead chromate, litharge, red 
lead, arsenate of lead, or Paris green are employed, used, or handled, or the manufacture 
of brass or the smelting of lead or zinc, which processes and employments are hereby 
declared to bo especially dangerous to the health of the employees engaged in any 
process of manufacture or labor in which poisonous chemicals, minerals, or other 
substances are used or handled by the employees therein in harmful quantities or 
under harmful conditions, shall provide for and place at the disposal of the employees 
engaged in any such process or manufacture, and shall maintain in good condition 
and without cost to the employees, proper working clothing to be kept and used 
exclusively for such employees while at work, and all employees therein shall be 
required at all times while they are at work to use and wear such clothing; and in all 
processes of manufacture or labor referred to in this section which are unnecessarily 
productive of noxious or poisonous dusts, adequate and approved respirators shall be 
furnished and maintained by the employer in good condition and without cost to 
the employees, and such employees shall use such respirators at all times while engaged 
in any work necessarily productive of noxious or poisonous dusts. 

Sec. 3. Every employer engaged in carrying on any process or manufacture referred 
to in section 2 of this act shall, as often as once every calendar month, cause all 
employees who come into direct contact with the poisonous agencies or injurious 
processes referred to in section 2 of this act, to be examined by a competent licensed 
physician for the purpose of ascertaining if there exists in any employee any industrial 
or occupational disease or illness or any disease or illness due or incident to the 
character of the work in which the employee is engaged. 

Sec. 4. It is hereby made the duty of any licensed physician who shall make the 
physical examination of the employees under the provisions of section 3 of this act, 
to make an immediate report thereof to the State board of health of the State of Illinois 
upon blanks to be furnished by said board upon request, and if no such disease or 
illness is found, the physician shall so report, and if any such disease is found, the 
report shall state the name, address, sex, and age of such employee and the name of 
such employer, and the nature of the disease or illness with which the employee is 
afflicted, and the probable extent and duration thereof, and the last place of employ- 
ment: Provided, That the failure of any such physician to receive the blanks of the 
State board of health for the making of such report, shall not excuse such physician 
from making the report as herein provided. 

Sec. 5. The secretary of the State board of health shall, immediately upon receipt 
of any report from any physician in accordance with the provisions of section 4 of this 
act, transmit a copy thereof to the Illinois department of factory inspection. 

Sec. 14. Any person, firm, or corporation who shall, personally or through any agent, 
violate any of the provisions of this act, or who omits or fails to comply with any of its 
requirements * * * shall be deemed guilty of a misdemeanor, and on conviction 
thereof shall be punished for the first offense by a fine of not less than ten dollars ($10) 
or more than one hundred dollars ($100), and upon conviction of the second or subse- 
quent offenses shall be fined not less than fifty dollars ($50) or more than two hundred 
dollars ($200), and in each case shall stand committed until such fine and costs are 
paid, unless otherwise discharged by due process of law. 


INDIANA. 

[Bums’ Annotated Statutes, 1908.] 

Sec. 7596. It shall be the duty of the State board of health to collect and tabulate 
the vital statistics, to study them and endeavor to make intelligent and profitable 
use of the same for sanitary purposes and the benefit of the people. They shall have 


122 


supervision of the system of registration of * * * infectious and contagious dis- 
eases, and they shall make up from time to time such blank forms as they may deem 
necessary for the collection, registration, and report of vital and sanitary statistics 
throughout the State. * * * 

* * • * * * * * 

Sec. 7607. It shall be the duty of all physicians and mid wives in the State to report 
upon blank forms supplied by the State board of health * * * all cases of con- 
tagious and infectious diseases which may occur under their supervision and which 
are listed as reportable in the rules of the State board of health. The reports of 

* * * cases of infectious diseases shall be made immediately. * * * Reports 
of * * * cases of such infectious and contagious diseases as are listed in the rules 
of the State board of health, which occur in cities and towns, shall be made to health 
officers of said cities and towns, and when they occur in the country outside of cities 
and towns they shall be reported to the county health officer or his deputies. * * * 
When any * * * case of listed infectious or contagious disease may occur with 
no physician or midwife in attendance, then said * * * case of infectious or 
contagious disease shall be reported by the householder or other person having said 

* * * case of infectious or contagious disease in charge to the nearest health officer 
or his deputy, and the officer to whom the report is made shall make inquiry and 
inspection * * * and all reports of * * * contagious or infectious diseases as 
herein commanded shall be made upon blanks furnished by the State board of health. 

* * * All records of * * * cases of contagious and infectious diseases shall be 
kept by health officers in record books, the forms of which shall be supplied by the 
State board of health. Any physician or midwife refusing or neglecting to make 

* * * infectious or contagious disease reports as herein provided shall, upon 
conviction, be fined for the first offense in any sum not less than ten or more than 
fifty dollars, and any physician or midwife who is convicted the second time for the 
violation of any of the above provisions shall be fined not less than fifty or more than 
one hundred dollars, and any physician or midwife who is convicted the third time 
for the violation of any of the above provisions shall be fined one hundred dollars. 
Householders and others made responsible in this act and failing to report as herein 
provided shall, upon conviction, be fined not less than ten nor more than fifty dollars 
for each offense. * * * 

******* 

Sec. 7612. Any physician called upon to attend a sick person and who finds the 
cause of such sickness to be of a contagious or infectious character, or if the disease is 
ordered to be reported in the rules of the State board of health, such physician shall 
immediately report the facts to the secretary of the board of health having juris- 
diction. 

Sec. 7613. Whenever any person knows or has reason to believe that any member 
of his or her family or household (boarder, roomer, or visitor) has either smallpox, 
diphtheria, membranous croup, scarlet fever, measles, or any other communicable 
disease listed in the rules of the State board of health, he or she shall immediately, 
from the time the existence of the disease is known, if no physician is in attendance, 
give notice thereof to the local health officer of the town or city in which the disease 
occurs, or the health officer if the case is without the corporation of cities or towns, 
and such notice shall be given either verbally or by written communication, mailed or 
delivered to such health officer or board. 

[Acts of 1911, ch. 129.] 

Sec. 3. Should one or both eyes of an infant become inflamed, swollen, or reddened, 
or show any unnatural discharge or secretion at any time within two weeks after its 
birth, and no legally qualified physician is in attendance upon the infant at that time, 
it shall be the duty of its parents, or, in their absence, whoever is caring for said infant. 


to report the fact in writing, within six hours after discovery, to the health officer 
having jurisdiction! provided, said report to said health officer need not be made 
from recognized hospitals. 

Sec. 5. Any violation of the provisions of this act shall be punished by a fine of 
not less than ten dollars and not more than fifty dollars. 

IOWA. 

JCode of 1897.] 

Sec. 1027. It shall be the duty of such clerk and physician [to the board of health 
in cities under special charters] to report at least once a year to the State board of 
health * * * such other facts as may be required in blanks in accordance with 
instructions received from the State board. They shall also make special reports 
whenever required so to do by the State board. 

Sec. 1028. The local board of health [in cities under special charters] shall make 
such rules and regulations and orders respecting * * * the prompt report of 
contagious or infectious diseases; * * * causes of sickness within their juris- 

diction, and on all boats in its ports and harbors, or railroad cars passing through such 
city; * * * and shall, from time to time, report to the city council ordinances 

for carrying such rules, regulations, and provisions into effect, * * * 

******* 

Sec. 2565. The board (State board of health) shall have * * * authority to 
make such rules and regulations and sanitary investigations as it from time to time 
may find necessary for the preservation and improvement of the public health, which 
when made shall be enforced by local boards of health and peace officers of the State. 
It shall * * * by its secretary make biennial reports to the governor, which shall 
include * * * such information concerning vital statistics, such knowledge 

respecting diseases * * * as may be thought useful for dissemination among 
the people. * * * 

******* 

Sec. 2568. * * * The quarantine authorized by this section in case of infec- 
tious or contagious diseases may be declared or terminated by the mayor of any city 
or town, or the township clerk outside of such city or town, in cases required by regu- 
lations of the State board of health, upon written notice given by any practicing 
physician of the existence of such disease, or termination of the cause for quaran- 
tine, as the case may be. 

[Acts of 1896, ch. 57. •] 

Section 1. Should one or both eyes of an infant become inflamed, or swollen, or 
reddened at any time within two weeks after its birth, it shall be the duty of the mid- 
wife, parent, guardian, or nurse, or other person having charge of such infant, to report 
within six (6) hours after the discovery thereof by such person in charge of such infant 
to the health officer or some legally qualified practitioner of the city, town, or district 
in which the parents of the infant reside, that such inflammation, or swelling, or red- 
ness of the eyes exists. 

******* 

Section 3. Any failure to comply with the provisions of this act shall be punished 
by a fine of not less than twenty-five dollars or more than one hundred dollars or 
imprisonment in the county jail not to exceed thirty days, or both. 


1 Omitted from code of 1897. Sec. 27, ch. 20, acts of 1897, declares that the code is “the authoritative 
publication of the existing laws of the State.” 


KANSAS, 


[General Statutes, 1909.] 

Sec. 8031. The State board of health shall supervise * * * the registration of 
forms of disease prevalent in the State, and the secretary of said board shall superin- 
tend the registration of the vital statistics of the State. * * * 

******* 

Sec. 8061. Tuberculosis is hereby declared to be an infectious and communicable 
disease, dangerous to the public health. It shall be the duty of every physician in 
the State of Kansas to report in writing, on a form to be furnished as hereinafter pro- 
vided, the name, age, sex, color, occupation, place where last employed if known, 
and address of every person known by said physician to have tuberculosis, to the 
county health officer; or in cities of the first class, to the city health officer, in which 
said person resides, within twenty-four hours after such fact comes to the knowledge 
of said physician. It shall also be the duty of the chief officer having charge for the 
time being of any hospital, dispensary, asylum, or other similar private or public 
institution in said State of Kansas to report in like manner the name, age, sex, color, 
occupation, place where last employed, if known, and previous address of every patient 
having tuberculosis who comes into his care or under his observation, within twenty- 
four hours thereafter. 

******* 

Sec. 8074. AMienever any physician shall know or have reason to believe that any 
person whom he is called to visit, or any person sick within his knowledge without the 
care of a physician, is sick with or has died of cholera, smallpox, scarlet fever, diph- 
theria, epidemic cerebrospinal meningitis, or any disease dangerous to the public 
health, he shall immediately give notice thereof to the nearest board of health or 
health officer. * * * 

Sec. 8075. Whenever any householder shall know that any of his family is sick with 
or has died of smallpox, cholera, scarlet fever, diphtheria, epidemic cerebrospinal 
meningitis, or any disease dangerous to the public health, he shall immediately give 
notice thereof to the nearest board of health or health officer. * * * 

Sec. 8076. Any municipal or county board of health or health officer having knowl- 
edge of any infectious or contagious disease, or of a death from such disease, within 
their jurisdiction, shall immediately exercise and maintain a supervision over such 
case or cases during their continuance. * * * The local board of health or health 
officer shall communicate without delay all information as to existing conditions to the 
State board of health. 

KENTUCKY. 

[Russell’s Statutes, 1909.] 

Sec. 1743. * * * and it shall be the duty of physicians practicing their profession 
in any county in which a local board is organized to report all or any of the above- 
mentioned diseases [cholera, smallpox, yellow fever, scarlet fever, diphtheria, and 
other epidemic and communicable diseases] under their special treatment to such 
local board, and it shall likewise be the duty of heads of families to report any of said 
diseases, when known by them to exist in their respective families, to such local board, 
or to some member thereof, within twenty-four hours from his or her knowledge of the 
existence of such disease, and such local board shall make report to the State board 
of health at least once in every three months. 

First. Of the character of the infectious, epidemic, and communicable diseases 
prevailing in their county. 

Second. The number reported as afflicted with such disease. 


125 


Skc. 1764 (as amended by ch. II, Acts of 19 LO). The sum of thirty thousand dol- 
lars per annum * * * is appropriated for the following purposes * * *: 

****** * 

(c) To establish and maintain a bureau of vital statistics, that the causes of sickness 
and mortality may be known and utilized. 

Sec. 1770. * * * Any physician or head of a family who shall fail or refuse to 
report to the local board of health cases of cholera, smallpox, yellow fever, scarlet 
fever, diphtheria, and other epidemic diseases, as provided for in section two thousand 
and fifty-five of the act mentioned in the title of this act, shall be fined not less than 
five dollars for each day he neglects or refuses to report. 

******* 

E Acts of 1910, ch. 37.] 

Sec. 18. The State board of health shall prepare, print, and supply to all registrars 
suitable blanks and forms used in registering, recording, and preserving the returns 
or in otherwise carrying out the purposes of this act; and shall prepare and issue such 
detailed instructions as may be required to secure the uniform observance of its pro- 
visions and the maintenance of a perfect system of registration. And no other blanks 
shall be used than those supplied by the State board of health. The State registrar 
shall carefully examine the certificates received monthly from the local registrars, 
and if any such are incomplete or unsatisfactory, he shall require such further informa- 
tion to be furnished as may be necessary to make the record complete and satisfactory. 
And all physicians, midwives, or undertakers, connected with any case, are hereby 
required to furnish such information as they may possess regarding any birth, sickness 
or death, upon demand of the State registrar in person, by mail, or through the local 
registrar. He shall further arrange, bind, and permanently preserve the certificates in 
a systematic manner, and shall prepare and maintain a comprehensive and continuous 
card index of all births, sickness, and deaths registered, the cards to show the name 
of child, deceased, place and date of birth, sickness or death, number of certificate, 
and the volume in which it is contained. He shall inform all registrars what diseases 
are to be considered as infectious, contagious, or communicable and dangerous to the 
public health, as decided by the State board of health, in order that when sickness 
and deaths occur from such diseases proper precautions may be taken to prevent the 
spreading of dangerous diseases. 

LOUISIANA. 

[Act No. 192, 1898.] 

Sec. 3 (as amended by Act 150, 1902). * * * It [the State board of health] 
shall prepare or cause to be prepared a sanitary code for the State of Louisiana, * * * 
said code shall cover and provide for * * * the reporting * * * of cases of 
infectious and contagious diseases. * * * 

Sec. 8. In the event that any case shall be reported to or come to the knowledge of 
any local board, which is either deemed to be a case of contagious or infectious disease, 
or suspected of so being, the local board shall immediately * * * communicate 
the fact by the most expeditious means at hand to the State board of health. * * * 

[Sanitary Code, 1909.] 

62. (a) Whenever in any community of this State, any nurse, midwife, or other per- 
son not a legally qualified practitioner of medicine shall notice inflammation of the eyes 
or redness of the lids in a newborn child under his or her care, it shall be the duty of 
such person to report the same to the town or parish health officer within twelve hours 
of the time the disease is first noticed. 

******** 


126 


MAINE. 

ERev. Stat., 1903, ch. 18.] 

Sec. 30. * * * It [the local board of health] shall report to the State board of 

health promptly facts which relate to infectious and epidemic diseases, and every 
case of smallpox, varioloid, diphtheria, scarlet fever, typhoid fever, cerebrospinal 
meningitis, measles, membranous croup so called, whooping cough, and pulmonary 
tuberculosis or consumption, as it is commonly termed, occurring within the limits of 
its jurisdiction, and such notification shall be in accordance with the requirements of 
the blanks furnished by the said State board. * * * 

******* 

Sec. 33 (as amended by ch. 78, Acts of 1909). Whenever any householder knows or 
has reason to believe that any person within his family or household has smallpox, 
diphtheria, scarlet fever, cholera, typhus or typhoid fever, cerebrospinal meningitis, 
measles, membranous croup so called, or whooping cough, he shall within twenty-four 
hours give notice thereof to the health officer of the town in which he resides, and 
such notice shall be given either at the office of the health officer or by a communi- 
cation addressed to him and duly mailed within the time above specified, and in case 
there is no health officer to the secretary of the local board of health, either at his 
office or by communication, as aforesaid. 

******* 

Sec. 36. Whenever any physician knows or has reason to believe that any person 
whom he is called upon to visit is infected with any of the diseases mentioned in 
section thirty-three, such physician shall, within twenty-four hours, give notice 
thereof to the secretary of the local board of health or the health officer of the town 
in which such person lives. 

******* 

Sec. 90. If one or both eyes of an infant become reddened or inflamed at any time 
within four weeks after birth, the midwife, nurse, or person having charge of said 
infant shall report the condition of the eyes at once to some legally qualified practi- 
tioner of medicine of the city, town, or district in which the parents (of the infant) 
reside. Any failure to comply with the provisions of this section shall be punishable 
by a fine not to exceed one hundred dollars or imprisonment not to exceed six months. 

[ Acts of 1909, ch. 78.] 

Sec. 1. The State board of health of Maine shall keep a register of all persons in this 
State who are known to be affected with tuberculosis. The State board of health 
shall have sole and exclusive control of said register and shall not permit inspection 
thereof nor disclose any of its personal particulars except to its own agents or to local 
officials when in the interest of the public health and safety it is deemed necessary to 
do so. 

Sec. 2. Tuberculosis is hereby declared to be an infectious and communicable 
disease, dangerous to the public health. It shall be the duty of every physician in 
the State of Maine to report in writing, on forms to be furnished by the State board of 
health, the name, age, sex, color, occupation, place where last employed if known, 
and address of every person known by said physician to have tuberculosis to the 
secretary of the State board of health within forty-eight hours after such fact comes to 
the knowledge of said physician. The name of the householder where the tuberculous 
person lives or boards and such other facts as may be called for on the blank reports 
issued from the office of the State board of health shall also be included in the report. 
It shall also be the duty of the chief officer having charge for the time being of any 
hospital, dispensary, asylum, sanatorium, or other similar private or public institution 
in the State of Maine to report to the State board of health in like manner the name, 
age, sex, color, occupation, place where last employed if known, and previous address 


127 


)f every patient having tuberculosis who comes into his care or under his observation 
vithin forty-eight hours thereafter. It shall also be the duty of said physician or 
:hief odicer to give notice to the secretary of the State board of health of the change 
)f address of any tuberculous patient who is or has lately been under his care if he 
s able to give such information. 

MARYLAND. 

[Code of 1904, art. 27.] 

Sec. 231. If at any time within two weeks after the birth of any infant one or both 
)f its eyes, or the eyelids, be reddened, inflamed, swollen, or discharging pus, the 
nidwife, nurse, or person other than a legally qualified physician, in charge of such 
nfant, shall refrain from the application of any remedy for the same, and shall imme- 
liately report such condition to the health commissioner or to some legally qualified 
ihysician in the city, county, or town wherein the infant is cared for. Any person 
>r persons violating the provisions of this section shall, on conviction, be punished by 
L fine not to exceed one hundred dollars, or by imprisonment in jail not to exceed 
ix months, or by both fine and imprisonment. 

[ Code of 1904, art. 43.] 

Sec. 21 B (created by ch, 560, acts of 1910). The bureau of communicable diseases 
of the State board of health] shall secure accurate and complete returns of communi- 
;able diseases in Maryland. * * * 

******* 

Sec. 29. * * * He [any local or county health officer] shall promptly notify the 
ecretary of the State board of health of the existence of any epidemic or unusual 
ickness or mortality that may come to his knowledge within his own sanitary juris- 
liction or contiguous thereto. * * * 

******* 

Sec. 50. Whenever any householder knows that a person within his family or house is 
ick of smallpox, diphtheria, membranous croup, scarlet fever, typhoid fever, typhus 
ever, measles, mumps, whooping cough, or any other infectious or contagious disease 
langerous to the public health, he shall immediately give notice thereof to the board 
if health of the city or county in which he dwells. * * * 

* * * * * * * 

Sec. 51. Whenever any physician knows that any person whom he is called to visit 
3 infected with smallpox, diphtheria, membranous croup, scarlet fever, typhoid 
ever, typhus fever, yellow fever, measles, whooping cough, or any other contagious 
ir infectious disease dangerous to public health, he shall immediately give notice 
hereof in writing over his own signature, to the board of health of the city or town or 
ounty in which such disease exists; and if he refuses or neglects to give such notice 
le shall be fined not less than fifty nor more than two hundred dollars. 

Sec. 52. The boards of health in the several cities, towns, and counties shall cause a 
ecord to be kept of all reports received in pursuance of sections fifty and fifty-one 
nd such record shall contain the names of all persons who are sick with infectious 
r contagious diseases, the localities in which they live, the disease with w^hich they 
re affected, together with the date and names of the persons reporting any such 
ases, and the record of quarantine, isolation, disinfection, and other preventive 
neasures. * * * 

Sec. 53. When any board of health has had notice of the occurrence, within its sani- 
ary jurisdiction, of a case of smallpox, or any other contagious or infectious disease 
iangerous to public health, such board of health shall, within twenty-four hours after 
he receipt of such notice, notify the State board of health of the same. 
***** 


* 


128 


Sec. 56. The State board of health of Maryland shall keep a register of all persons in 
this State who are known to be affected with tuberculosis. The State board of health 
shall have sole and exclusive control of said register, and shall not permit inspection 
thereof nor disclose any of its personal particulars except to officials authorized under 
the laws of Maryland to receive such information. 

Sec. 57. The superintendent or other person in charge or control of any hospital, 
dispensary, school, reformatory, or other institution deriving the whole or any part 
of its support from the public funds of the State of Maryland or any city, town, or 
county in the State of Maryland, having in charge or under care or custody any 
person or persons suffering with pulmonary or laryngeal tuberculosis shall within 
forty-eight hours after recognition of such disease make or cause to be made in the 
manner and form prescribed by the State board of health a record of the name, age, 
sex, color, occupation, social condition, and residence of the person or persons so 
affected, together with such other information as may seem necessary or important. 
And all such records shall be delivered under seal to the State board of health on Mon- 
day of the week immediately following that in which the records were made. * * * 

Sec. 58. Whenever any physician knows that any person under his professional care 
is affected with pulmonary or laryngeal tuberculosis he shall transmit to the secretary 
of the State board of health within seven days and upon blanks provided by the State 
board of health for that purpose the name, age, sex, color, occupation, social condition, 
and residence of such person, and any physician failing or refusing to comply with the 
requirements of this section shall be deemed guilty of a misdemeanor and on conviction 

thereof shall be subject to a fine of ten dollars. 

******* 

Sec. 67. Whenever any hotel keeper, keeper of a boarding or lodging house, super- 
intendent, manager, or director of a private or public institution of any kind, 
shall know or be informed by a physician, or shall have reason to believe that any 
guest, inmate, or other person in the hotel, boarding house, lodging house, or institu- 
tion over which he or she may have control or supervision, or on the premises thereof, 
is sick with or convalescing from smallpox, cholera, yellow fever, typhus or typhoid 
fever, scarlet fever, leprosy, or any other contagious or infectious disease, the said 
owner, proprietor, manager, or other person having charge shall immediately give 
notice thereof in writing to the health officer of the city or town in which the infected 
house or premises is located, or to the secretary of the State board of health if there 
is no local health officer who can efficiently deal with the case; said notice shall state the 
name and place of residence of the person sick, the name of the disease, the name of 
the owner, proprietor, or manager of the house, and the locality of said house. * * * 

Sec. 68. Any person or persons who shall neglect or refuse to comply with the provi- 
sions of the two foregoing sections shall be deemed guilty of a misdemeanor, and shall, 
upon conviction thereof in a court of competent jurisdiction, be fined not more than 
fifty dollars for every such offense. 

MASSACHUSETTS. 

|j Revised Laws, 1902, ch. 75.] 

Sec. 49 (as amended by Acts of 1910, ch. 269). A householder who knows that a 
person in his family or house is sick of smallpox, diphtheria, scarlet fever, or any other 
infectious or contagious disease declared by the State board of health to be dangerous 
to the public health shall forthwith give notice thereof to the board of health of the 
city or town in which he dwells. * * * Should one or both eyes of an infant 
become inflamed, swollen, and red, and show an unnatural discharge at any time 
within two weeks after its birth it shall be the duty of the nurse, relative, or other 
attendant having charge of such infant to report in writing within six hours there- 
after to the board of health of the city or town in which the parents of the infant 
reside the fact that such inflammation, swelling, and redness of the eyes and upna^tural 
discharge exist. * * * 


Sec. 50 (as amended by Acts of 1907, cli. 480). If a physician knows that a person 
whom he is called to visit is infected with smallpox, diphtheria, seal let fever, or any 
other disease declared by the State board of health to be dangerous to the public 
health, or if one or both eyes of an infant whom or whose mother he is called to visit 
become inflamed, swollen, and red, and show an unnatural discharge within two 
weeks after the birth of such infant, he shall immediately give notice thereof in 
writing over his own signature to the selectmen or board of health of the town, and 
if he refuses or neglects to give such notice he shall forfeit not less than fifty nor more 
than two hundred dollars for each offense. 

Sec. 51. The board of health shall keep a record, in blank books to be provided by 
the secretary of the Commonwealth, of all reports received pursuant to the two pre- 
ceding sections, which shall contain the name and location of all persons who are sick, 
their disease, the name of the person who reports the case, and the date of such report. 
Said board shall give immediate information to the school committee of all contagious 
diseases so reported to them. 

Sec. 52 (amended by Acts of 1907, ch. 480). If the board of health of a city or town 
has had notice of a case of smallpox, diphtheria, scarlet fever, or of any other disease 
declared by the State board of health to be dangerous to the public health therein, 
it shall within twenty-four hours thereafter give notice thereof to the State board of 
health stating the name and location of the patient so afflicted, and the secretary thereof 
shall forthwith transmit a copy of such notice to the State board of charity. 

Sec. 53 (amended by Acts of 1902, ch. 213). If such board refuses or neglects to 
give such notice, the city or town shall forfeit its claim upon the Commonwealth for 
the payment of expenses as provided in section one of chapter two hundred and thir- 
teen of the acts of the year nineteen hundred and two. 

[Acts of 1907, cii. 183.] 

Sec. 1. The State board of health is hereby authorized and directed to define what 
diseases shall be deemed to be “dangerous to the public health,” as the term is used 
in chapter two hundred and thirteen of the acts of the year nineteen hundred and two. 

MICHIGAN. 

[Compiled Laws of 1897.] 

Sec. 4452. Whenever any householder, hotel keeper, keeper of a boarding house, 
or tenant shall know, or shall be informed by a physician, or shall have reason to 
believe that any person in his family, hotel, boarding house, or premises is taken sick 
with smallpox, cholera, diphtheria, scarlet fever, or any other disease dangerous to 
the public health, he shall immediately give notice, in writing, thereof to the health 
officer of the township, city, or village in which he resides. Said notice shall state 
the name of the person sick, the name of the disease, if known, the name of the house- 
holder, hotel keeper, keeper of boarding house, or tenant giving the notice, and shall, 
by street and number, or otherwise, sufficiently designate the house in which he 
resides or the room in which the sick person may be; and if he shall refuse or wilfully 
neglect immediately to give such notice, he shall be deemed guilty of a misdemeanor, 
and upon conviction thereof he shall be punished by a fine of not exceeding one 
hundred dollars and costs of prosecution ; or in default of payment thereof, by imprison- 
ment not exceeding ninety days in the county jail, in the discretion of the court 
* * * 

Sec. 4453. Whenever any physician shall know that any person whom he is called 
to visit, or who is brought to him for examination, is infected with smallpox, cholera, 
diphtheria, scarlet fever, or any other disease dangerous to the public health, he shall 
immediately give notice thereof to the health officer of the township, city, or village 
in which the sick person may be; and to the householder, hotel keeper, keeper of a 
93321°— 11 9 


boarding house, or tenant within whose house or rooms the sick person may be. The 
notice to the officer of the board of health shall state the name of the disease, the name, 
age, and sex of the person sick, also the name of the physician giving the notice; and 
shall, by street and number, or otherwise, sufficiently designate the house or room in 
which said person sick may be. * * * 

Sec. 4454. For each complete notice in writing to an officer of the board of health, 
in full compliance with the preceding section, requiring from physicians, or other 
person, notices of diseases dangerous to the public health, the physician who gave the 
notice shall be entitled, on duly certifying that each notice was correct, and when the 
bill has been duly audited by the board of health, to receive from the township, city, 
or village, in which the notice was given, the sum of ten cents. 

******* 

Sec'. 4460. AVhenever the health officer of any township, city, or village in this State 
shall receive reliable notice or shall otherwise have good reason to believe that there is 
within the township, city, or village of which he is the health officer, a case of small- 
pox, diphtheria, scarlet fever, or other communicable disease dangerous to the public 
health, it shall be the duty of said health officer, * * * to keep the president of 
his own board of health, and the secretary of the State board of health constantly 
informed respecting every outbreak of a disease dangerous to the public health, and 
of the facts so far as the same shall come to his knowledge, respecting sources of danger 
of any such diseased person or infected article being brought into or taken out of the 
township, city, or village of which he is the health officer. 

******* 

Sec. 4475. Should one or both eyes of an infant become inflamed or swollen, or 
reddened, or should any pus or secretion form in the eyes or upon the edge of the lids, 
at any time within two weeks after birth, it shall be the duty of any midwife, nurse, 
or other person having charge of such infant to report in writing within six hours after 
discovery of such inflammation, redness, or formation of pus or secretion, to the local 
health othcer or some legally qualified practitioner of medicine in the city, town, or 
district in which such case shall occur, the fact that such inflammation, swelling, or 
redness, or accumulation in the eyes exists. 

[Public acts of 1909, No. 27, as amended by Act 317, 1909, and Act 80, 1911.] 

Sec. 1. Tuberculosis is hereby declared to be an infectious and communicable 
disease. It shall be the duty of every physician in the State of Michigan to report in 
writing on a form to be furnished as hereinafter provided, the name, nativity, age, 
sex, color, occupation, place where last employed if known, and address, of every 
person known by said physician to have tuberculosis, to the health officer of the town- 
ship, city, or village in which said person resides, within twenty-four hours after such 
fact comes to the knowledge of said physician. It shall also be the duty of the chief 
officer having charge for the time being of any hospital, dispensary, asylum, or other 
similar private or public institution in .said State of Michigan, to report in like manner 
the name, nativity, age, sex, color, occupation, place where last employed, if known, 
and previous address of every patient having tuberculosis who comes into his care or 
under his observation, within twenty-four hours thereafter. 

Sec. 2. This report shall be upon a blank form furnished by the State board of 
health, and such blank, in addition to the name, color, age, sex, nativity, occupation, 
])lace where last employed, and present address, as stated above, shall give also the 
evidence upon which the diagnosis of tuberculosis has been made, the part of the 
body affected, and the stage of the disease. * * * 

“Sec. 4. Protection of records . — It shall be the duty of every health officer of a 
township, city, or village to cause all reports made in accordance with the provisions 
of the first section of this act, and also all results of examinations showing the presence 


of the bacilli of tuberculosis made in accordance with the ])rovisionH of the third 
section of this act, to be recorded in a register to be furnished by the State board of 
health, of which he shall be the custodian, and a copy of which he shall transmit quar- 
terly to the State board of health. Such register shall not be open to inspection by 
any person other than the health authorities of the State and of the said township, 
city, or village, and said health authorities shall not permit any such report or record 
to be divulged so as to disclose the identity of the person to whom it relates, except 
as may be necessary to carry into effect the provisions of this act. The cost of all 
blanks, vouchers, and registers by this act required to be furnished or issued by the 
State board of health shall be paid for by the board of State auditors out of the general 
fund in the State treasury, on presentation of vouchers approved by the secretary of 
the State board of health. 

‘ ‘ Sec. 11 . Penalty for failure of physician to perform duties or for making false reports . — 
Any physician or person practicing as a physician who shall fail to report 
any case of tuberculosis or who shall knowingly report as affected with tuberculosis 
any person who is not so affected, or who shall wilfully make any false statement 
concerning the name, nativity, age, sex, color, occupation, place where last employed, 
if known, or address of any person reported as affected with tuberculosis, or who shall 
certify falsely as to any of the precautions taken to prevent the spread of infection, 
shall be deemed guilty of a misdemeanor and on conviction thereof shall be subject 
to a fine of not more than one hundred dollars. 

“Sec. 12. Reporting recovery of patient.— \]poi\ the recovery of any person having 
tuberculosis, it shall be the duty of the attending physician to make a report of this 
fact to the local health officer, who shall record the same in the records of his office, 
and shall relieve said person from further liability to any requirements imposed by 
this act. 

“Sec. 12a. In addition to the requirements of the reports hereinbefore provided, 
such reports shall comprehend the occupation at the time disease was contracted and 
the date thereof, as near as can be, the time thereafter continued at such occupation 
and all subsequent occupations and term of each to the time of the death or recovery 
of any person having tuberculosis, and it shall be the duty of every health officer of 
township or village or city to cause all reports to be made in accordance with the first 
section of this act, and this section and record copy transmitted as required by section 
four, and upon the receipt of the full quarterly report by the State board of health, 
said State board of health shall compile such report to show the number and location 
of each case, the number of deaths and number of recoveries, the age, sex, color 
occupation at time person contracted, the disease, the time continued in the occupation 
when disease was contracted and all subsequent occupations and term of each up to 
death or recovery of such person, and so classify same, showing percentage of deaths 
in each trade or occupation from tuberculosis, as compared with the whole number of 
deaths in such trade or occupation as shown by the latest reports of local physicians 
to the local health boards as reported to the State board of health: Provided, That 
such compilation shall be published once every year in the reports of said State' board 
of health; that such reports so made up shall be at all times open to the inspection 

of the public: Provided further, That the names of the persons so diseased shall not be 
published. 

Sec. 13. General penalty. Any person violating any of the provisions of this act 
shall be deemed guilty of a misdemeanor and upon conviction thereof shall be pun- 
ished, except as herein otherwise provided, by a fine of not less than five dollars nor 
more than fifty dollars. 

Sec. 14. Repealing all acts, et cetera. — All acts and parts of acts contrary to or 
inconsistent with the provisions of this act are hereby repealed.’’ 


132 


[Public Acts of 1909, No. 293.] 

Sec. 1. * * * The said State board of health is hereby expressly authorized to 
designate what diseases are dangerous communicable diseases and what diseases are 
contagious diseases, and it shall be the duty of every local board of health and health 
officer to observe such rules in relation to dangerous communicable diseases and con- 
tagious diseases as may be prescribed by the said State board of health. 

[Laws of 1911, act 119.] 

Section 1. Every physician attending or called upon to treat a patient whom he 
believes to be suffering from poisoning from lead, phosphorus, arsenic, or mercury, 
or their compounds, or from anthrax, or from compressed air illness, contracted as a 
result of the nature of the patient’s employment, shall send to the State board of health, 
who shall transmit to the commissioner of labor a notice stating the name, post-office 
address, and place of employment of the patient, the length of time of such employ- 
ment, and the disease from which, in the opinion of the physician, the patient is 
suffering. 

Sec. 2. Any physician who shall fail to make any report required by the preceding 
section, or who shall wilfully make any false statement in such report, shall be deemed 
guilty of a misdemeanor, and on conviction thereof shall be punished by a fine of not 
more than fifty dollars. 

Sec. 3. It shall be the duty of the commissioner of labor and of the prosecuting 
attorney of the county where anyone \dolating the provisions of this act may reside, 
to prosecute all violations of the provisions of this act which shall come to the knowl- 
edge of them or either of them. 

MINNESOTA. 

[ Revised Laws of 1905.] 

Sec. 2130. The board [State board of health] shall * * * gather and diffuse 
[)roper information upon all subjects to which its duties relate. It shall gather, collate, 
and publish medical and vital statistics of general value * * * 

Sec. 2131. The board [State board of health] may adopt, alter, and enforce reason- 
able regulations of permanent application throughout the whole or any portion of the 
State, or for specified periods in parts thereof, for the preservation of the public health. 
Upon the approval of the attorney general, and the due publication thereof, such 
regulations shall have the force of law, except in so far as they may conflict with a 
statute or with the charter or ordinances of a city of the first class upon the same sub- 
ject. In and by the same the board may control * * * any of the following 

matters : 

******* 

7. * * * the reporting of sicknesses and deaths therefrom. 

******* 

Sec. 2135. All local boards of health and health officers shall make such * * * 
reports, and obey such directions concerning communicable diseases, as the State 
board may require or give. * * * 


MISSISSIPPI. 

[Codeofl906, ch. 34.] 

1645. The duties of the bureau on vital statistics of the department shall be (1) to 
appoint a county board of health in each county of the State, consisting of one physician 
of skill from each supervisor’s district, for the purpose of collecting vital, mortuary, and 
sanitary statistics, of which board the county health officer shall be chairman; and 
said board may keep books of register for * * * infectious diseases, in which may 
be kept a register of all the * * * infectiousdiseasesthatmay occur in the county. 


133 


(2) To carry out the rules and regulations as to the collection of vital, mortuary , and 
sanitary statistics in the State that shall be adopted by the State board of health. 
******* 

2498. Every practicing or licensed physician shall report immediately to the secre- 
tary of the State board of health every case of yellow fever, cholera, dengue, small- 
pox or other virulent epidemic contagious diseases that occurs within his practice, 

unless the State board of health shall otherwise direct. * * * 

2505. Any municipality may * * * enforce the collection and registration of 

* * * health and mortuary statistics; but the same shall be subject to and not 
inconsistent with the rules and regulations of the State board of health touching the 
health interests of the county in which such city, town, or village is situated. 

i; Acts of 1910, ch. 130.] 

Sec. 1. It shall be the duty of all practicing physicians in this State to report to the 
secretary of the State board of health any and all cases of tuberculosis, consumption 
or other pulmonary diseases, which they shall be called on to examine or treat, within 

ten days after receiving knowledge of such cases. * * * 

Sec. 3. Any practicing physician who shall fail to make the reports provided for 
in section 1 of this act, shall be guilty of a misdemeanor, and, upon conviction, shall 
be fined not less than ten dollars nor more than fifty dollars. 

MISSOURI. 

[ Annotated Codes of 190G.] 

Sec. 7520. The State board of health shall * * * recommend to the municipal 
authorities of any city, or to the county courts of any county, the adoption of any rules 
that they may deem wise or expedient for the protection and preservation of the 
health of the citizens thereof. 

Sec. 7528. It shall be the duty of the board of health to make annual report, through 
its secretary or otherwise, in writing, to the governor of this State, on or before the first 
day of January of each year, and such report shall include * * * such information 
concerning vital and mortuary statistics, such knowledge respecting diseases * * * 

asmay be thought useful by the board for dissemination among the people. * * * 

MONTANA. 

[ Revised Codes, 1907.] 

Sec. 1486. * * * He [the secretary of the local board of health] shall keep accu- 
rate records of all communicable diseases reported to him, and for this purpose each 
local board of health shall provide, at the expense of the city or town, a book printed 
in proper blank form for the notation of such facts and data as may be prescribed by 

the regulations of the State board of health. * * * 

******* 

Sec. 1495. * * * He [the local and county health officer] shall on or before the 
fifth day of each month, transmit to the secretary of the State board of health, on 
blanks provided therefor, a complete report of all communicable diseases reported to 
him during the previous month, giving all the details regarding each case as indicated 

by the blank forms provided by the State board of health. * * * 

******* 

Sec. 1500. The term “communicable disease” as used in this act, shall be under- 
stood to include the following diseases: Smallpox, diphtheria, membranous croup, 
so-called scarlet fever, sometimes called scarlet rash or scarlatina, cholera, bubonic 
plague, yellow fever, “ spotted ” or “ tick ’ ’ fever, typhus fever, enteric or typhoid fever, 
cerebro spinal meningitis and measles. 

Sec. 1501. Whenever any householder knows or has reason to believe that any per- 
son within his family or household has any communicable disease, he shall immedi- 


134 


ately give notice thereof to the health officer of the town or city in which he resides, 
if within the corporate limits of a town or city, or to the county health officer if with- 
out the corporate limits of a town or city, and such notice shall be given at the office 
of the local or county health officer within the shortest possible time and by the most 
direct means of communication. 

Sec. 1502. Whenever any physician knows that any person whom he is called upon 
to visit is infected with any communicable disease, such physician shall imme- 
diately give notice of such disease to the local health officer, if within the corporate 
limits of a town or city, or to the county health officer if without the corporate limits 
of a town or city. 

NEBRASKA. 

DCompilecl Statutes, 1881, 14th ed., 1909.] 

Sec. 4403. The State board of health * * * shall collect and preserve such 
information as may be useful in the discharge of its duties, and for dissemination 
among the people. 

Sec. 4404. It shall be the duty of all boards of health now in existence or that may 
hereafter be created, and of physicians in localities where there are no health author- 
ities, or where such health authorities fail to act, to report to the State board of health 
promptly upon the discovery thereof, the existence of any one of the following dis- 
eases, viz, Asiatic cholera, yellow fever, smallpox, scarlet fever, diphtheria, typhus 
and typhoid fever and such other contagious and infectious diseases as the State board 
of health may from time to time specify; and each and every member of any such board 
of health, or other officer or physician, who knowdng of the existence of any such dis- 
ease shall fail promptly to report the same in accordance with the provisions of this 
section, shall be deemed guilty of a misdemeanor, and upon conviction thereof shall 
be fined in any sum not less than ten dollars nor more than one hundred dollars for 
each and every such offense. 

new HAMPSHIRE. 

[ Public Statutes, 1891, ch. 110.] 

Sec. 3 (as amended by Acts of 1901, ch. 13). It shall be the duty of every physician 
who attends upon any person infected with the smallpox, the malignant cholera, diph- 
theria, scarlet fever, or other malignant pestilential disease, immediately to report 
the same to the health officers, or in their absence to the selectmen of the town. If 
any physician shall neglect so to do, he shall be fined one hundred dollars, or be 
imprisoned not exceeding ninety days, or both. 

[Acts of 1901, cb. 16.] 

Sec. 2. Whenever any person knows or has reason to believe that any member of his 
family or household (boarder, roomer, or visitor) has either smallpox, diphtheria, 
membranous croup, scarlet fever, typhoid fever, measles, or any other malignant com- 
municable disease, he shall, within twenty-four hours, if no physician is in attend- 
ance, give notice thereof to the local board of health of the town or city in which he 
resides, and such notice shall be given either verbally to one of the health officers, or 
by a communication addressed to the board of health and duly mailed within the time 
specified. 

* * ***** 

Sec. 5. Upon the appearance of either of the diseases named in section 2 in any 
town or city in the State, the board of health shall make an immediate report to the 
State board of health upon blanks furnished for that purpose, and shall thereafter make 
a weekly report as long as the disease continues, stating number of cases, number of 
infected houses, fatality, and such other facts as may be required by the State board 
of health. 


135 


(Acts of 1903, ch. 45.] 

Sec. 1. It shall be the duty of every physician who attends upon any person whom 
he suspects is infected with smallpox to immediately report the same to the health 
othcers of the town in which said person then resides, or if there be no health oflicers, 
then to the selectmen of the town. * * * 

[Acts of 1911, ch. 0.] 

Sec. 1. It shall be the duty of every physician practicing medicine or surgery in 
the State of New Hampshire to report in writing to the State board of health, within 
one week after the disease is recognized, on forms to be provided by the said board, 
the name, age, sex, color, occupation, and address of every person under his care in 
this State who in his opinion is infected with pulmonary or other form of tuberculosis. 
It shall also be the duty of the officer having charge for the time being of each and 
every hospital, dispensary, asylum, or other public or private institution in the State 
to report in like manner the name, age, sex, color, occupation, and last address of 
every person in his care, or who has come under his observation within one week of 
such time, who in his opinion is infected with pulmonary or other form of tuberculosis. 
* * * * * * * 

Sec. 3. The State board of health shall cause all cases showing the presence of 
tubercle bacilli to be recorded in a register, of which the board shall be the custodian 
and which shall not be open to inspection, nor shall the board permit any such record 
to be divulged in any manner to disclose the identity of the person to whom it relates 
except to a health officer, if deemed necessary, to carry out the provisions of this act. 
******* 

Sec. 5. Upon the recovery of any person who has been found to be infected with 
tuberculosis a report to that effect shall be made to the State board of health by the 
attending physician and shall be recorded in the register aforesaid, and shall re- 
lieve the said person from further liability to any requirement imposed by this act. 
******* 

Sec. 7. Any person violating the provisions of this act shall, upon conviction thereof, 
be deemed guilty of a misdemeanor and shall be punished by a fine of ten dollars, or 
imprisonment for thirty days, or both. 

[Acts of 1911, ch. 17.] 

Sec. 1. Upon the appearance of smallpox, typhoid fever, or any other dangerous 
communicable disease in any unincorporated locality in this State it shall be the duty 
of any person having knowledge thereof immediately to notify the State board of 
health of the appearance of such disease, provided there is no local board of health 
having jurisdiction in the locality. 

* * * * * * * 

Sec. 3. Any person violating the provisions of this act or any regulation established 
thereunder, shall be fined ten dollars for each offense. 

new jersey. 

[General Statutes, 1895, p. 1676.] 

Sec. 1. Should one or both eyes of an infant become inflamed, swollen, or reddened, 
or show any unnatural discharge at any time within two weeks after its birth and no 
legally qualified practitioner of medicine be in attendance upon the infant at the time, 
it shall be the duty of the midwife, nurse, attendant, or relative having charge of such 
infant to report the fact in writing, within 6 hours, to the local board of health of the 
city, township, or other municipality in which the parents of the infant reside. 


(Acts of 1911, ch. 380.] 


A supplement to an act entitled “An act for the protection of the public health,” 
approved March twenty-second, one thousand eight hundred and ninety-five. 

Sec. 1. Every physician who shall attend any person sick with typhoid fever, dys- 
entery, scarlet fever, diphtheria, or tuberculosis, on any dairy premises where milk 
is produced for sale or distribution, shall report to the secretary of the State board of 
health within twelve hours after he first ascertained that any such person is sick with 
any of said diseases, which report shall be in writing, and shall state the nature of the 
disease, the name of the person who is ill with said disease, and the location of the 
place where such person is ill as aforesaid, and the name of the owner or manager of 
said dairy premises if the same can be ascertained. 

Sec. 2. Every physician who shall attend any person sick with any of the diseases 
mentioned in section one, who shall have knowledge of the fact that any member of 
the family of such person ill as aforesaid, or any person living in the same family, is 
employed on any dairy premises where milk is produced for sale or distribution, shall 
report to the secretary of the State board of health in writing, within twelve hours 
after he first ascertained that any such person is sick as aforesaid, or within twelve 
hours after gaining the information above mentioned as aforesaid, which report shall 
state the name of the person who is ill with said disease, the nature of the disease, and 
the location of the place where such person is sick as aforesaid, and shall further 
specify the name of the member of the family of such person or of the person living in 
the same family as the person ill as aforesaid who is employed on dairy premises as 
aforesaid, and the name of the owner or manager thereof if the same can be ascertained, 
and the location of the dairy premises where said person is employed. 

Sec. 3. Every person who shall fail to make the report provided for by sections 
one and two of this act in the manner and within the time therein mentioned, shall, 
for every such failure, forfeit the sum of fifty dollars, to be recovered in the manner 
provided for the recovery of penalties in the act to which this act is a supplement. 

[Acts of 1911, ch. 381.) 

An act to amend an act entitled “An act for the protection of the public health,” 
approved March twenty-second, one thousand eight hundred and ninety-five. 

Sec. 1 . Section one of the act to w'hich this act is amendatory be, and the same 
hereby is, amended so that it shall read as follows: 

“Sec. 1. Every physician shall, within twelve hours after his first professional 
attendance upon any person who is suffering from cholera, yellow fever, typhus fever, 
leprosy, plague, trichinosis, smallpox, varioloid, enteric or typhoid fever, diphtheria, 
membranous croup, scarlet fever, malaria, tuberculosis in any of its manifestations, 
trachoma, hydrophobia, glanders, anthrax, chicken-pox, anterior poliomyelitis or 
infantile paralysis, or any other contagious, infectious, or communicable disease which 
may hereafter be publicly declared by the State board of health to be preventable 
and specially dangerous to the public health, report such sickness to the assessor of 
the township in which such sickness may be; if such sickness be within the limits of 
the jurisdiction of any local board of health other than the local board of health of 
any township, then such physician shall report such sickness to the secretary of the 
local board of health having j urisdiction over the territory within which such sickness 
may be, if such board has a secretary; if such board has no secretary, then to the clerk 
of such board; provided, however, that any local board of health may designate some 
officer of such board, other than the clerk, secretary, or township assessor, to receive 
such reports, in which case all such reports shall be made to such officer; such report 
shall be in writing, signed by such physician, and shall set forth the name, age, and 
precise location of the person suffering from such disease; and every house owner or 
householder who has reason to believe that any person living, dwelling, or being in 
any building under his control is affected by any of the contagious, infectious, or 


137 


communicable diseases hereinabove specified or referred to, shall, when no physician 
has professionally attended such sick ])erson, within twelve hours after discovering 
the same, report the fact in writing to the same person and in the same manner as any 
physician attending such sick person would be required to do as hereinabove set forth; 
and on the thirtieth day of June and the thirty-first day of December in each and every 
year every physician, house owner, and householder making any report or reports, as 
in this section required, shall be entitled to receive from the officer to whom such 
report or reports shall have been made during the preceding six months, a certificate 
in writing under the hand of such officer, setting forth the number of names of persons 
reported to have been affected with any of the diseases hereinabove specifically 
named or referred to, which certificate when presented by such physician, house 
owner, or householder to the proper disbursing officer of the city, borough, town, or 
other local municipal government or township within which such affected person 
may have been, shall entitle such physician, house owner, or householder to receive 
from such disbursing officer the sum of ten cents for each and every name by such 
certificate certified to have been reported, unless such notification shall be found to 
have been erroneous; and any physician, house owner, or householder who shall fail 
to perform the above-mentioned duty at the time and in the manner above provided 
shall be liable to a penalty of fifty dollars for each such failure.” 

Sec. 2. Section two of the act of which this act is amendatory be, and the same 
hereby is, amended so that it shall read as follows : 

“ Sec. 2. That the facts contained in every report filed pursuant to the provisions of 
the first section of this act shall be entered by the officer to whom the same shall be 
delivered in a book kept exclusively for that purpose, which book shall be subject 
to the inspection of the local board of health and its proper officers and to the State 
board of health and its officers only; the officer to whom such report shall be delivered, 
and whose duty it is to make record of same, as in this section above set forth, shall 
also, at least once in each week, and daily when required by the State board of health, 
transmit the facts stated therein by mail to the secretary of the board of health of the 
State of New Jersey, at Trenton, and shall upon request by the said State board of 
health or any of its officers give full information concerning the measures which are 
employed by the local board of health to prevent the spread of the disease in such 
reports mentioned, which facts and information shall be conveyed to the secretary of 
the said State board of health in writing; any officer whose duty it is to make. any report 
to said State board of health or the secretary thereof, as in this section above provided, 
and who fails to perform such duty at the time and in theiCianner above provided, 
shall be liable to a penalty of fifty dollars for each and every such failure of duty. 
Proof that the secretary of said State board of health has not received the report of 
such facts or such information from any such officer shall be prima facie evidence 
that such facts and information have not been transmitted to said secretary by such 
officer. Every officer whose duty it is to receive the reports mentioned in section one 
of this act shall, during the month of October in each year, upon presentation of a cer- 
tificate signed by the secretary of the State board of health stating the whole number 
of such cases reported as aforesaid from each municipality or township by such officer 
to the State board of health during the preceding year, be entitled to receive, from the 
proper disbursing officer of the township, city, borough, town, or other local municipal 
government within the limits of which the sickness so reported occurred, the sum of 
ten cents for each case reported, as aforesaid, to the secretary of the State board of 
health: Provided, however, That such officer shall not be entitled to any payment for 
or on account of any such case unless report of such case was received by the secretary 
of the said State board of health within ten days after the date such said case was 
reported to the officer transmitting the same, and no such case shall be included in 
such certificate unless so received. Such certificates shall be sent to the officers above 
mentioned during the month of October of each year.” 

Sec. 3. This act shall take effect immediately. 


138 


[Acts of 1910, ch. 169.] 

Sec. 1. Tuberculosis is hereby declared to be an infectious and communicable 
disease, dangerous to the public health, it shall be the duty of every physician in 
the State of New Jersey to report in writing, signed by him, the name, age, sex, color, 
occupation, place where last employed, if known, and address of every person known 
by said physician to have tuberculosis to the local board of health of the city, borough, 
town, or other municipality in this State in which said person resides, within forty- 
eight hours after such fact comes to the knowledge of said physician. It shall also be 
the duty of the chief officer having charge for the time being of any hospital, asylum, 
prison, or other private or public institution in said State of New Jersey to report in 
like manner the name, age, sex, color, occupation, place where last employed, if 
known, and previous address of every patient having tuberculosis who comes into his 
care or under his observation within forty-eight hours thereafter. 

NEW MEXICO. 

[Acts of 1903, cli. 103.] 

Sec. 19. Whenever any physician or other person shall know that any person is 
sick with smallpox or other contagious or infectious disease * * * dangerous to 
the public health, he shall at once give notice thereof, if within the limits of any 
incorporated city, town, or village, to the health officer for the county in which such 
city, town, or village is situated; and if not within such city, town, or village, then 
to the justice of the peace in the precinct in which such disease * * * exists. 
Whenever such notice is given to any justice of the peace it shall be his duty to at 
once notify the health officer of the county. Any physician, justice of the peace, or 
other person failing, neglecting, or refusing to perform any duty imposed upon him 
by this section shall be guilty of a misdemeanor * * *. 

Sec. 20. WTienever any householder shall know that any person in his family is 
sick with smallpox or other contagious disease dangerous to the public health he shall 
immediately give notice thereof required by the last preceding section, and upon 
failure to give such notice shall be deemed guilty of a misdemeanor, and punished 
upon conviction as in said section provided. 

******* 

NEW YORK.® 

O Consolidated Laws, 1909, ch. 45. ] 

Sec. 5. There shall be in the State department of health a bureau of vital statistics 
for the registration of births, marriages, deaths, and prevalent diseases, which shall 
be under the general charge and supervision of the commissioner of health. He 
shall prescribe and prepare the necessary methods and forms for obtaining and pre- 
serving such statistics and to insure the prompt and faithful registration of the same 
in the several municipalities and in the State bureau. * * * jf defects exist in 
any registration under the supervision of a local board of health the commissioner 
shall notify the local board that such defects must be amended and prevented within 
10 days from the date of the notice. If such defects are not so amended or prevented, 
the commissioner shall take control of such registration and record thereof and enforce 
the rules and regulations in regard thereto, and secure a complete registration in such 
municipality, and such control shall continue until the local board satisfies the com- 
missioner that it will make such record and registry complete, as required by law. 
* * * 

:)c * * * * * 


a See also page 15G. 


139 


Sec. 12. The commissioner of health shall annually on or before the first Monday 
in February make a written report to the governor upon the vital statistics and sani- 
tary conditions * * * of the State. * * * 

sf: * * * * * 

Sec. 25. * * ^ Every physician shall immediately give notice of every case 

of infectious and contagious or communicable disease required by the State depart- 
ment of healtli to be reported to it, to the health officer of the city, town, or village 
where such disease occurs; and no physician being in attendance on such case it shall 
be the duty of the superintendent or other officer of an institution, householder, hotel, 
or lodging-house keeper, or other person where siicli case occurs, to give such notice. 
The physician or other person giving such notice sliall be entitled to the sum of twenty- 
five cents therefor. * * * Every such local board of health shall report to the 
State department of health, promptly, the facts relating to infectious and contagious 
or communicable diseases, and every case of smallpox or varioloid within the munici- 
pality. Health officers of cities, villages, and towns shall report in writing once a 
month to the State department of health all cases of such infectious and contagious 
or communicable diseases as may be required by the State department of health, and 
for such reporting the health officer of a village or town shall be paid by the munici- 
pality employing him * * * ^ sum not to exceed twenty cents for each case so 
reported. The reports of cases of tuberculosis made pursuant to the provisions of this 
section shall not be divulged or made public, so as to disclose the identity of the per- 
sons to whom they relate, by any person; except insofar as may be necessary to carry 
out the provisions of this section. * jh * The health officer, commissioner of health, 
or boards of health of the cities of the first class shall report promptly to the State 
department of health all cases of smallpox, typhus and yellow fever, and cholera and 
the facts relating thereto. 

******* 

Sec. 127. The health officer shall keep the department of health of the city of 
New York informed of the number of cases of quarantinable diseases and the character 
of the same held at quarantine, and he may receive any vessel or merchandise sent to 
him by the health authorities of New York which in his opinion is dangerous to the 
public health. 

Sec. 129. The quarantinable diseases are yellow fever, plague, cholera, typhus or 
ship fever, and smallpox, and any other infectious disease which has been or may be 
determined to be quarantinable by the health officer. * * * 

Sec. 320. Tuberculosis is hereby declared to be an infectious and communicable 
disease, dangerous toYhe public health. It shall be the duty of every physician in 
the State of New York to report in writing, on a form to be furnished as hereinafter 
provided, the name, age, sex, color, occupation, place where last employed, if known, 
and address, of every person known by said physician to have tuberculosis, to the 
health officer of the city, town, or village in which said person resides, within twenty- 
four hours after such fact comes to the knowledge of said physician. It shall also be 
the duty of the chief officer having charge for the time being of any hospital, dispen- 
sary, asylum, or other similar private or public institution in said State of New York 
to report in like manner the name, age, sex, color, occupation, place where last 
employed, if known, and previous address of every patient having tuberculosis who 
comes into his care or under his observation, within twenty-four hours thereafter. 

******* 

§ 322. Protection of records . — It shall be the duty of every health officer of a city, 
town, or village to cause all reports made in accordance with the provisions of section 
three hundred and twenty, and also all results of examinations showing the presence 
of the bacilli of tuberculosis, made in accordance with the provisions of section three 


140 


hundred and twenty-one, to be recorded in a register, of which he shall be the custo- 
dian. Such register shall not be open to inspection by any person other than the 
health authorities of the State and of the said city, town, or village, and said health 
authorities shall not permit any such report or record to be divulged so as to disclose 
the identity of the person to whom it relates, except as may be necessary to carry 
into effect the provisions of this article. 

§ 329. Penalty for failure of physician to perform duties or for moling falsa reports.— 
Any physician or person practicing as a physician who shall knowingly report as 
affected with tuberculosis any person who is not so affected, or who shall wilfully 
make any false statement concerning the name, age, sex, color, occupation, place 
where last employed if known, or address of any person reported as affected with 
tuberculosis, or who shall certify falsely as to any of the precautions taken to prevent 
the spread of infection, shall be deemed guilty of a misdemeanor, and on conviction 
thereof shall be subject to a fine of not more than one hundred dollars. 

§ 330. Reporting recovery of patient. — Upon the recovery of any person having 
tuberculosis, it shall be the duty of the attending physician to make a report of this 
fact to the local health officer, who shall record the same in the records of his office, 
and shall relieve said person from further liability to any requirements imposed by 
this article. 

§ 331. General penalty. — Any person violating any of the provisions of sections 
three hundred and twenty to three hundred and thirty, both inclusive, of this article, 
shall be deemed guilty of a misdemeanor, and upon conviction thereof shall be pun- 
ished, except as in this article otherwise provided, by a fine of not less than five 
dollars nor more than fifty dollars. 

§ 332. Application of provisions. — No portion of sections three hundred and twenty 
and three hundred and thirty-one, both inclusive, shall apply to the city of New 
York, nor shall the passage of said sections modify or repeal any of the provisions 
of the charter of the city of New York, or any rule or regulation issued by the depart- 
ment of health of said New York City. 

NORTH CAROLINA. 

[ Revisal of 1905.] 

Sec. 4439. Bulletins of the outbreak of disease dangerous to the public health 
shall be issued by the State board whenever necessary, and such advice freely dis- 
seminated to prevent and check the invasion of disease into any part of the State. 
*** 

I|Actsofl911, ch. 62.] 

Sec. 16. All laws pertaining to the reporting, recording * * * of the diseases 

mentioned in section eighteen, * * * shall be faithfully enforced by the quar- 
antine officer. * * * 

Sec. 17. If a householder knows that a person within his family is sick with small- 
pox, diphtheria, scarlet fever, measles, whooping cough, yellow fever, typhus fever, 
cholera, or bubonic plague he shall immediately give notice thereof to the quaran- 
tine officer or the deputy quarantine officer. 

Sec. 18. If a physician suspects that a person whom he is called to visit is infected 
with smallpox, diphtheria, measles, whooping cough, scarlet fever, typhus fever, 
yellow fever, cholera, or bubonic plague * * * he shall immediately give notice 
thereof to the quarantine officer or deputy quarantine officer. 

Sec. 19. The quarantine officer shall record on duplicate forms supplied by the 
State board of health and in accordance with instructions furnished therewith, all 
diseases reported in pursuance of sections eighteen and nineteen. The said officer 
receiving notice of the diseases named in sections eighteen and nineteen shall make 
the following report: First, the quarantine officer shall notify the secretary of the 
State board of health, by telegram, within twenty-fours after receiving information 


141 


of (he presence of yellow fever, cholera, typhus fever, or bubonic plague, of the 
existence of everv case of the aforesaid diseases) second, the (quarantine officer shall 
notify the teacher or principle in the school attended by members of the family of 
the sick child, on blank forms furnished by the State board of health, within twenty- 
four hours after receiving information of the presence of yellow fever, cholera, typhus 
fever, bubonic plague, diphtheria, scarlet fever, measles, or whooping cough, of the 
existence of every case of the said diseases; third, the quarantine officer shall mail 
to the secretary of the State board of health, not later than the fifth day of the follow- 
ing month, the original record of all cases of yellow fever, smallpox, measles, cholera, 
typhus fever, bubonic plague, diphtheria, scarlet fever, and whooping cough, for the 
preceding month: Provided, That the quarantine officers are hereby empowered to 
appoint, if they desire, one deputy quarantine officer in each township of the county; 
the tenure of office of such deputy shall be terminable at the pleasure of the quaran- 
tine officer. The deputy quarantine officer, upon receiving notice of the existence 
of any of the diseases mentioned in sections eighteen and nineteen, shall at once 
notify the quarantine officer, upon suitable blank forms supplied him for this pur- 
pose. * * * The quarantine officer shall be liable for the neglect or refusal of his 
deputy to carry out the provisions of this act. Any householder, physician, quaran- 
tine officer, or any other person who violates the provisions of this section shall be 
guilty of a misdemeanor, and upon conviction thereof shall be liable to a fine of not 
less than ten dollars nor more than fifty dollars, or imprisonment for not less than ten 
nor more than thirty days, and shall be liable to a penalty of twenty-five dollars in 
favor of any person who shall sue for the same. The chairman of the board of county 
commissioners shall be responsible for the enforcement of sections eighteen, nineteen, 
* * * of this act in his jurisdiction. Failure on his part to enforce its provisions 
shall be a misdemeanor, and he shall be liable to a fine of not less than ten dollars nor 
more than fifty dollars. * * * 

Sec. 21. The county, town, or city treasurer, as the case may be, shall pay twenty- 
five cents each, or more if necessary, for the execution of this act, to the quarantine 
officer upon presentation of a certified statement from the secretary of the State board 
of health of the number of cases of the diseases mentioned in section nineteen reported 
to the said secretary for the preceding month. * * * 

NORTH DAKOTA. 

[Revised Codes of 1905.] 

Sec. 257. The superintendent of public health shall on the first day of December of 
each even numbered year make a full report to the governor, which report shall 
show * * * the character and extension during such time of all contagious and 
infectious diseases that have been reported to him * * * 

******* 

Sec. 260. * * * The county superintendent of health shall * * * whenever 
any contagious or infectious disease occurs in his county, either among persons or 
domestic animals, immediately report the same to the superintendent of public health. 
******* 

Sec. 275. Whenever it shall come to the knowledge of any physician or other person 
that a contagious, epidemic, or infectious disease exists within the jurisdiction of any 
local board, he shall immediately report to such board in writing the name and place 
of residence, if known, of every person afflicted with such disease, and if he is the 
attending physician of such person he shall report not less than twice in each week 

the condition of each person so afflicted and the state of such disease. 

******* 

Sec. 277. Each keeper of any private house, boardinghouse, lodging house, inn, or 
hotel shall report in writing to the local board of health within whose jurisdiction the 
same may occur each case of contagious, infectious, or epidemic disease which may 


142 


occur in his house, inn, or hotel; such report shall be made within twenty-four hours 
after the existence of such disease shall become known to such person, and shall state 
the name of each person afflicted with such disease and the nature thereof. 

******* 

Sec. 282. * * * Whenever it shall come to its knowledge that a case of smallpox, 
scarlet fever, diphtheria, or other infectious or contagious disease exists within its 
jurisdiction, * * * local board of health shall * * * immediately notify 
the State board of health of the existence and nature of such disease. * * * 

Sec. 288. The health offlcer of each city, the clerk of each civil township, and in 
counties not organized into civil townships, the county commissioner of such county 
for the district for which he was elected, and the superintendent of the county board 
of health of each county in the State, shall obtain and register the following facts con- 
cerning the * * * contagious and infectious diseases occurring therein, separately 

numbering and recording the same in the order in which he obtains them, designating 
in separate columns, viz, * * *; in the registry of infectious and contagious diseases, 
the name of the person affected, the sex, color, and age of the person, the nature of the 
disease, and the date of record. The county auditor of each county shall furnish each 
officer within his county, charged with the duties herein provided, at the expense of 
the county, a book in which to register the facts concerning * * * infectious 
and contagious diseases as herein provided. The superintendent of each county board 
of health shall keep his records in the office of the county judge of said county. 

Sec. 289. Where no physician is employed, it shall be the duty of the parents 

to give notice to the proper office within whose jurisdiction they reside, * * * of 

the presence of any infectious or contagious disease occurring within their household, 
within twenty-four hours, * * * and the oldest person next of kin, the keeper 
or other proper officer of every workhouse, poorhouse, reform school, jail, prison, 
hospital, asylum, or other public or charitable institution, shall give like notice of 
any * * * infectious or contagious disease occurring among the persons under 
his charge. * * * 

Sec. 290. * * * Any physician attending a case of infectious or contagious 
disease shall immediately notify the health officer within whose jurisdiction such 
disease exists, giving the name of patient, place of residence, and the character of the 
disease, and shall in addition thereto, for the purpose of keeping the record of vital 
statistics complete, certify the facts to the clerk of the civil township within whose 
district such disease occurred, or in counties not organized into civil townships then to 
the county commissioner having the proper jurisdiction, giving the name of the 
patient, place of residence, and character of the disease. * * * 

Sec. 291. It shall be the duty of the health officer of each city and the clerk of 
each organized civil township of each county in this State, and in counties not organ- 
ized into civil townships, the county commissioner of such county for the district 
for which he was elected, to make and send a copy of the registry of * * * infec- 
tious and contagious diseases to the superintendent of the county board of health 
of each county in the State not later than the 10th of each month a certified copy 
of the registry of * * * infectious or contagious diseases occurring within the 
preceding month; and the superintendent of the county board of health of each 
county in this State shall make and send to the State superintendent of health on 
or before the fifteenth day of each month a copy of the records showing all * * * 
infectious or contagious diseases reported to him for the preceding month within his 
county. * * * 

Sec. 292. The superintendent of each county board of health shall, on or before 
the fifteenth day of each month, transmit to the superintendent of the State board of 
health, upon blanks furnished him by the State board of health, a certified copy of 
the registry of * * * infectious and contagious diseases which have occurred in 
said county within the calendar month immediately preceding, as reported to him 


143 


by the officers charged with the collection of vital statistics within his county. For 
obtaining, registering, and returning the facts herein required the county superin- 
tendent of health shall receive a sum of ten cents for each separate record of * * * 
infectious and contagious diseases so made and reported, to be paid out of the general 
fund of such county in the same manner as other bills and accounts against said 
county are allowed and paid. For neglect to perform such duties as are herein 
required the county superintendent of health shall forfeit a sum not exceeding fifty 
dollars for each offense, to be collected as other tines are collected by law. 

[Acts of toil, ch. 188.] 

Sec. 3. Should one or both eyes of an infant become inflamed, swollen, or reddened 
or show any unnatural discharge or secretion at any time within two weeks after its 
birth, and no legally qualified physician is in attendance upon the infant at that time, 
it shall be the duty of its parents or, in their absence, whoever is caring for said infant, 
to report the fact in writing within six hours after discovery to the health officer having 
jurisdiction: Provided, Said report to said health officer need not be made from recog- 
nized hospitals. 

****** * 

Sec. 5. Penalty. — Any violation of the provisions of this act shall be punished by 
a fine of not less than ten dollars nor more than fifty dollars. 

****** * 

OHIO. 

[General Code, 1910.] 

Sec. 1243, Boards of health, health authorities or officials, and physicians in 
localities where there are no health authorities or officials shall report to the State 
board of health promptly upon the discovery thereof the existence of any one of 
the following diseases: Asiatic cholera, yellow fever, smallpox, scarlet fever, diph- 
theria, membranous croup, typhus or typhoid fever, and such other contagious or 
infectious diseases as the State board specifies. 

******* 

Sec. 4427. Each physician or other person called to attend a person suffering from 
smallpox, cholera, plague, yellow fever, typhus fever, diphtheria, membraneous 
croup, scarlet fever, or typhoid fever, or any other disease dangerous to the public 
health, or required by the State board of health to be reported, shall report to the health 
officer within whose jurisdiction such person is found, the name, age, sex, and color 
of the patient, and the house and place in which such person may be found. In 
like manner, the owner or agent of the owner of a building in which a person resides 
who has any of the diseases herein named or provided against, or in which are the 
remains of a person having died of any such disease, and the head of the family, im- 
mediately after becoming aware of the fact, shall give notice thereof to the health 
officer. 

Sec. 4428. When complaint is made or a reasonable belief exists that an infectious 
or contagious disease prevails in a house or other locality which has not been so 
reported the board shall cause such house or locality to be inspected by its health 
officer, * * * 

Sec. 12787. Wdioever, being a midwife, nurse, or relative in charge of an infant less 
than ten days old, fails within six hours after the appearance thereof to report in 
writing to the physician in attendance upon the family, or if there be no such physician 
to a health officer of the city, village, or township in which such infant is living, or, in 
in case there be no such officer, to a practitioner of medicine legally qualified to 
practice, that such infant’s eye is inflamed or swollen or shows an unnatural discharge, 
if that be the fact, shall be fined not less than five dollars nor more than one hundred 
dollars or imprisoned not less than thirty days nor more than six months, or both. 


144 


OKLAHOMA. 

[Snyder’s Compiled Laws, 1909.] 

Sec. 349. It shall be the duty of all practicing physicians in each county to make a 
report to the county superintendent of public health for said county, upon forms as 
prescribed and furnished by the State board of health, of all the cases of infectious and 
contagious diseases. Such report shall be made by said physician as soon as the disease 
is discovered, and upon failure on the part of the physician to so report said disease as 
herein provided, he shall be deemed guilty of a misdemeanor, and upon conviction 
thereof shall be fined in a sum not less than ten dollars and not more than twenty-five 
dollars. * * * 

Sec. 350. It shall be the duty of any practicing physician in cities of the first class, in 
counties of this State, to make a report to the city superintendent of public health, upon 
forms prescribed and furnished by the State board of health, of all cases of infectious 
and contagious diseases, as soon as discovered by him or coming to his knowledge. Any 
failure upon the part of said physician to report said disease as herein provided, shall 
be deemed guilty of misdemeanor, and upon conviction thereof, shall be fined in the 
sum of not less than twenty-five dollars nor more than one hundred dollars. * * * 
It shall be the duty of said city superintendent of public health to make a full report 
from time to time to the State board of health as to all cases of contagious and infectious 
diseases existing within said city at such times and under such rules and regulations 
that said State board of health may require. * * * 

OREGON. 

[Acts of 1903, p. 82.] 

Sec. 8. * * * It shall be the duty of the county board of health * * * to 
report to the secretary of the State board of health monthly, not later than the tenth 
day, all infectious diseases, * * * that may have been reported to said board of 
health during the preceding month, excepting cities wherein vital statistics are 
collected, and in such cases the health officer, or other persons whose duty it is to 
collect said statistics, must send to the secretary of the State board of health, not later 
than the tenth day of the month, a transcript of his monthly records of deaths * * * 

and all infectious diseases reported to him. 

******* 

Sec. 12. * * * Every physician, or other person, under whose charge any in- 
fectious or epidemic disease occurs, must report the same to the county or city health 
officer immediately. * * * 

PENNSYLVANIA. 

[Pardon’s Digest, 13th ed., p. 1886,] 

78. Should one or both eyes of an infant become inflamed, or swollen and 
reddened, at any time within two weeks after birth, it shall be the duty of the 
midwife or nurse or other person having the care of such infant, to report in writing 
within six hours after the discovery thereof to the health officer, or legally qualified 
practitioner of the city, town, or district in which the mother of the child resides, 
the fact that such inflammation, or swelling, or redness exists. 

[Acts of 1909, ch. 658,] 

Sec. 1. Every physician, practicing in any portion of this Commonwealth, 
who shall treat or examine any person suffering from, or afflicted with, actinomycosis, 
anthrax, bubonic plague, cerebrospinal meningitis (epidemic), (cerebrospinal fever, 
spotted fever), chicken pox, Asiatic cholera, diphtheria (diphtheritic croup, mem- 
branous croup, putrid sore throat), epidemic dysentery, erysipelas, German measles, 
glanders (farcy), rabies (hydrophobia), leprosy, malarial fever, measles, mumps, 


145 


pneumonia ((rue), puerperal fever, relapsing fever, scarlet fever (scarlatina, scarlet 
rash), smallpox (variola, varioloid), tetanus, trachoma, trichiniasis, tuberculosis in 
any form, typhoid fever, typhus fever, whooping cough, or yellow fever, shall, if 
said case shall be located in a township of the first class, a borough, or a city, forthwith 
make a report in writing to the health authorities of said township^ city, or borough; 
and, if said case shall be located in a township of the second class, or a city, borough, 
or township of the first class not having a board of health or body acting as such, to the 
State department of health, upon blanks supplied for that purpose; in which report 
he shall, over his or her own signature, state the name of the disease, and the name, 
age, sex, color, nativity, and occupation, if any, of the person suffering therefrom, 
together with the street and house number of the premises in which said person may 
be located, or otherwise sufficiently designate the same, the date of the onset of the 
disease, the name and occupation of the householder in whose family the disease may 
have occurred, the number of children in said household attending school, and the 
name or names of the school or schools so attended, together with such other informa- 
tion relating so said case as may be required by said health authorities and the State 
department of health. 

******* 

Sec. 9. Blanks whereon to make the reports * * * required by this act 
shall be supplied in cities, boroughs, and townships of the first class by the health 
authorities thereof, respectively; and in townships of the second class, and in cities, 
boroughs, and townships of the first class not having boards of health or bodies acting 
as such, by the State department of health. 

Sec. 10 . It shall be the duty of the health authorities of cities, boroughs, and 
townships of the first class, respectively, to furnish daily, by mail or otherwise, to 
principals, superintendents, teachers, and other persons in charge of public, private, 
parochial, Sunday, and other schools, a printed or written bulletin containing the 
name, location, and disease of all persons suffering from any of the diseases mentioned 
in sections three, four, five, six, and seven of this act, upon receipt by them of reports 
of such cases from physicians, as required by section one of this act; and such bulletin 
shall be daily furnished to such persons in charge of such schools in townships of the 
second class, and in cities, boroughs, and townships of the first class, not having boards 
of health or bodies acting as such, by the State department of health. 

******* 

Sec. 23. The health authorities of the several cities, boroughs, and townships 
of the first class shall, at the end of each week and for the fraction of each week occur- 
ring at the end of each month, report to the State department of health, upon blanks 
supplied for that purpose, a list of all cases of communicable diseases mentioned in 
section one of this act which have been reported to them during said period, which 
report shall contain the name of each person suffering therefrom, respectively, and 
his or her age, sex, color, and nativity, together with the name of the disease and the 
date of the onset thereof; and in the event of no reports of any of said diseases having 
been received by the aforesaid health authorities, respectively, during any said period, 
that fact shall be reported to the State department of health. All superintendents 
and other persons in charge of asylums, hospitals, or other institutions located in 
townships of the second class shall at the end of each week and portion of a week 
occurring at the end of each month report to the State Department of health on blanks 
to be supplied for that purpose, a list of the inmates of such institutions, respectively, 
who may have suffered from any of the diseases enumerated in section one of this act, 
together with the above-mentioned data relative to each inmate, with the date of 
his or her admission to the institution, and the name of the city, borough, or township 
from which he or she was admitted. 

******* 


93321°— 11 10 


146 


Sec. 24. * * * Any physician, * * * or any other person or persons, 
who shall fail, neglect, or refuse to comply with, or who shall violate any of the pro- 
visions of this act shall, for every such offense, upon conviction thereof in a summary 
proceeding before any magistrate or justice of the peace of the county wherein said 
offense was committed, be sentenced to pay a fine of not less than twenty (|20) dollars 
or more than one hundred ($100) dollars, to be paid to the use of said county, or to be 
imprisoned in the county jail for a period of not less than ten nor more than thirty 
days, or both, at the discretion of the court. 

PORTO RICO. 

[Laws of 1911, act 68.] 

Sec. 25. * * * Physicians shall report to the nearest health officer any of the 
followuig diseases: Exan thematic typhus, typhoid fever, smallpox, varioloid, scarlet 
fever, diphtheria, yellow fever, Asiatic cholera, bubonic plague, beriberi, epidemic 
dysentery, cerebro-spinal meningitis, whooping cough, epidemic parotiditis, malaria, 
tuberculosis, glanders, leprosy, cutaneous syphilis, and hookworm disease, or unci- 
nariasis. 

Sec. 26. It shall be the duty of practicing physicians to report to the local health 
officer all cases of infectious or contagious diseases treated by them, and it shall be 
the duty of health officers to immediately report all such cases to the director of sani- 
tation. It shall be likewise the duty of veterinarians to report to the director of 
sanitation any disease of the animals under their care, such as bacteroid carbuncle, 
tuberculosis, actinomycosis, gangrenous septicaemia, glanders, or any other epidemic 
disease. 

RHODE ISLAND. 

[General Laws, 1909, ch. 96.] 

Sec. 10 (added by acts of 1909-10, ch. 386). It shall be the duty of the State board 
of health to keep a register of all persons in this State who are known to be affected 
with laryngeal or pulmonary tuberculosis. The State board of health shall have sole 
exclusive control of said register and shall not permit the inspection thereof nor 
disclose any of its personal particulars except to officials authorized under the laws 
of this State to receive such information. 

Sec. 11 (added by acts of 1909-10, ch. 386). The superintendent, or other person, in 
charge or control of any hospital, school, reformatory, or other institution, deriving 
the whole or any part of its support from the public funds of the State of Rhode Island, 
having in charge or under his care and custody any person or persons suffering with 
pulmonary or laryngeal tuberculosis, shall, within forty-eight hours after recognition 
of such disease, make, or cause to be made, in the manner and form prescribed by the 
State board of health, a record of the name, age, sex, color, occupation, social condi- 
tion, and residence of the person or persons so affected, together with such other 
information as may be determined by the State board of health.' Said information to 
be furnished on blanks supplied by the State board of health, and said information 
shall be forwarded each week to the office of the secretary of the State board of health 
on said blanks. * * * 

Sec. 12 (added by acts of 1909-10, ch. 386). Whenever any physician knows that 
any person under his professional care is affected with pulmonary or laryngeal tubercu- 
losis, he shall transmit to the secretary of the said State board of health within seven 
days, and upon blanks provided by the State board of health for that purpose, the 
name, sex, age, color, occupation, social condition, and residence of such 
person. * * * 


147 


[General Laws, 1909, ch. 110.] 

Sec. 13. Every householder or person shall immediately inform the town council 
of the town wherein he dwells, of any person in the house or tenement occupied by 
him, who has been taken sick of the smallpox, or any other contagious or infectious 
distemper, or suspected to be so. 

******* 

Sec. 19. Every physician, householder, or other person, having knowledge of the 
existence of smallpox in any town, shall immediately give information thereof to the 
town clerk of the town in which the person is sick with the smallpox, and in cities 
shall give like information to the superintendent of health. 

Sec. 20. ^\^lenever the town clerk of any town shall have knowledge or shall have 
received information as provided in the preceding section of the existence of small- 
pox in his town, he shall forthwith give or cause notice thereof to be given to the town 
council of such town, at the expense of the town, to be audited and allowed by the 
town council. 


[General Laws of 1909 (ch. 343).] 

Sec. 25. Should any midwife or nurse, or person acting as nurse, having charge of an 
infant in this State, notice that one or both eyes of such infant are inflamed or reddened 
at any time within two weeks after its birth, it shall be the duty of such midwife or 
nurse, or person acting as nurse, so having charge of such infant, to report the fact in 
writing within six hours to the health officer, or some qualified practitioner of medicine, 

of the city or town in which the parents of the infant reside. 

* * * * * * . * 

Sec. 27. Every person who shall fail to comply with the provisions of the two 

sections next preceding shall be fined not exceeding one hundred dollars, or im- 
prisoned not exceeding six months, or both, 

[Acts of 1911, ch. 728.] 

Section 1. Any physician who may discover a case or cases of anterior poliomye- 
litis, tubercular meningitis, or cerebrospinal meningitis shall immediately report 
the existence of each and every case of said diseases to the secretary of the State 
board of health, together with such information as said secretary may require. 

SOUTH CAROLINA. 

[Criminal Code, 1902.] 

Sec. 331. Should one or both eyes of an infant become reddened or inflamed at 
any time after birth, it shall be the duty of the midwife or nurse or person having 
charge of said infant to report the condition of the eyes at once to the local board of 
health of the city or town in which the parents of the infant reside. 

Any failure to comply with the provisions of this section shall be punishable by a 
fine not to exceed twenty-five dollars or imprisonment not to exceed one month, or 
both. 

This section shall not apply to towns or cities of less than one thousand inhabitants. 

[Act No. 395, 1910.] 

Sec, 1. In all cases of known or suspected contagious or infectious diseases occurring 
within any incorporated city or town of this State, it shall be the duty of the attending 
physician to report such disease to the secretary of the board of health of each city or 
town within twenty-four hours, stating the name and address of the patient, and the 
nature of the disease. 

Sec. 2, It shall be the duty of the secretary of each local board of health to report 
to the secretary of the State board of health all such cases of infectious and contagious 


148 


diseases as have been reported to him during the preceding months, such reports to 
be made upon blanks furnished by the State board of health, and not later than the 
fifth day of each month. 

Sec. 3. It shall be the duty of the attending physician in all cases of known or 
suspected contagious or infectious diseases outside of incorporated cities and towns, 
to report such cases to the secretary of the State board of health within twenty-four 
hours after they have come under his observation, said reports to be made upon blanks 
furnished by the State board of health. 

Sec. 4. The State board of health is hereby authorized to name the diseases it con- 
siders contagious and infectious. 

Sec. 5. Any physician or secretary of a local board of health, failing to comply with 
the provisions of this act, shall be deemed guilty of a misdemeanor, and upon convic- 
tion shall be fined in a sum not less than five dollars nor more than twenty-five dollars, 
or be imprisoned in the county jail for a period not exceeding thirty days. 

SOUTH DAKOTA. 

[ Political Code, 1903.] 

Sec. 248. * * * The superintendent of the county board of health shall be 
ex-officio secretary of the board of health of his county, * * * and- shall at the 
end of every month make a full report in writing to the superintendent of the State 
board of health * * * of the condition of the public health, and whenever any 
contagious or infectious disease occurs in his county shall immediately report the 
same to the superintendent of the State board of health. 

* ■ * * * * * * 

Sec. 253 * * * Any practicing physician or other person who shall fail to 
report to the superintendent of the county board of health the existence of any con- 
tagious or infectious disease, shall be deemed guilty of a misdemeanor, and upon 
conviction thereof shall be punished by a fine of not more than one hundred dollars, 
or by imprisonment in the county jail for not more than six months, or by both such 
fine and imprisonment, in the discretion of the court. 

TENNESSEE. 

[Acts of 1905, ch. 519.] 

Sec. 1. Whenever any case of smallpox, yellow fever, cholera, bubonic plague, 
typhus fever, diphtheria, membranous croup, scarlet fever, or other communicable 
diseases exist (except it shall not embrace any venereal disease, such as gonorrhea 
or syphilis), or is even suspected to exist in any household, it shall be the duty of the 
head of said household, or any other person in such household possessing knowledge 
of said facts, to immediately notify the municipal or county health authorities of the 
town or county wherein such disease or diseases exist or may be supposed to exist. 

Sec. 2. Whenever any physician, surgeon, or practitioner of medicine shall know 
or suspect that any person or persons, whom they have been called to visit, or who 
has been brought to them for examination, or any other suspicious information received 
relative thereto, is or are infected, or even suspected, with any of the aforementioned 
diseases, he shall, and it shall be his duty to, immediately notify the health authorities 

of the town or county in which said diseased person or persons are found. 

* ****** 

Sec. 11. It shall be the duty of each and every municipal or county board of health 
in this State, upon receiving information of the existence or suspected existence in 
their respective jurisdiction of any case of smallpox, cholera, yellow fever, scarlet 
fever, diphtheria, or other disease dangerous to the public health, to immediately 
notify the State board of health of the fact, and, in addition, on the first of each and 
every month make a written report and forward the same without delay to said board 


149 


of all communicable diseases occurring in their respective jurisdictions for the last 
month preceding, setting forth in said report in separate columns the age, color, and 
sex of the individual, name oi each disease, number of cases, number of deaths, 
together with such other information as said State board of health may desire. 

[Acts of 1911. ch. 10.] 

Section 1. Be it enacted by the General Assembly of the State of Tennessee, that a 
person who, being a midwife, nurse, or other person having the care of an infant 
within the age of 2 weeks, neglects or omits to report immediately to the health officers 
or to a legally qualified practitioner of medicine of the city, town, or place where 
such child is being cared for, the fact that one or both eyes of such infant are in* 
flamed or reddened whenever such shall be the case, or who applies any remedy 
therefor without the advice or except by the direction of such officer or physician, or 
neglects, refuses, or omits to comply with the above requirements shall be guilty of 
a misdemeanor. 

TEXAS. ^ 

[Acts of 1911, ch. 95.] 

Rule J.— Every physician in the State of Texas shall report in writing or by an 
acknowledged telephone communication to the local health authority immediately 
after' his or her first professional visit, each patient he or she shall have or suspect of 
suffering with any contagious disease, and if such disease is of a pestilential nature 
he shall notify the president of the State board of health at Austin by telegraph or 
telephone at State expense. * * * 

Hule2 . — For the purpose of these regulations the phrase ‘‘local health authority” 
shall be held to designate the city or county health officer, or local board of health, 
within their respective jurisdictions. 

jlylQ g — The phrase “ contagious disease” as used in these regulations shall be held 
to include the following diseases, whether contagious or infectious, and as such shall 
be reported to all local health authorities and by said authorities reported in turn to 
the president of the State board of health: Asiatic cholera, bubonic plague, typhus 
fever, yellow fever, smallpox, scarlet fever (scarlatina), diphtheria (membranous 
croup), epidemic cerebrospinal meningitis, dengue, typhoid fever, epidemic dysen- 
tery, trachoma, tuberculosis, and anthrax. 

Rule 4 . — City and county health authorities shall keep a careful and accurate 
record of all cases of contagious diseases as reported to them, with the date, name, age, 
sex, race, location, and such other necessary data as may be prescribed by the State 
board of health. And they shall also make a monthly report of all contagious diseases, 
of which they may be cognizant, to the president of the State board of health before 
the fifth of the following month upon blank forms provided by the State board of 
health. The reports on tuberculosis are to be privately kept and are to be considered 
in the light of a confidential communication, not for the purpose of isolation, but 
with the object of education in sanitary precautions and to supply literature of the 
State board of health. 

******* 

Rule 22. Whenever any nurse, midwife, or other person not a legally qualified 
practitioner of medicine shall notice inflammation of the eyes or redness of the lids in 
a newborn child under his or her care, it shall be the duty of such person to report 
the same to the local health authority, or in his absence any reputable physician, 
within twelve hours of the time the disease is first noticed. 

Rule 23 . — Every hotel proprietor, keeper of a boarding house, or inn, and house- 
holder or head of family in a house wherein any case of reportable contagious disease 
(including tuberculosis) may occur shall report the same to the local health authority 


150 


within twelve hours of the time of his or her first knowledge of the nature of such 
disease unless previous notice has been given by the physician in attendance. * * * 
******* 

Any person who shall violate any of the rules, regulations, or provisions of the 
sanitary code of Texas, as herein set forth, shall be deemed guilty of a misdemeanor, 
and upon conviction shall be fined in any sum not less than ten dollars and not 
more than one thousand dollars. 


UTAH. 

[Compiled Laws, 1907.] 

Sec. 1108. Every local board of health or health ofiicer shall report to the secretary 
of the State board of health at such times as the State board may require. * * * 
It shall be the duty of the local health officer to make a monthly report to the State 
board of health, on or before the fifth day of each month, of all cases of scarlet fever, 
smallpox, diphtheria, membranous croup, typhoid fever, whooping cough, measles, 
chicken pox, pneumonia, and tuberculosis which have occurred within his jurisdiction 
during the previous month; and upon receipt of the notification of the existence of any 
case of either of said diseases in any family, a member of which is in attendance upon 
any public or private school, he must at once report the existence of such disease to 
the principal of the school so attended. * * * 

***** * * 

Sec. 1111. All physicians or other persons having knowledge of the existence of 
any contagious or infectious disease, or having reason to believe that any such disease 

exists, are hereby required to report the same forthwith to the local board of health. 
******* 

1113x11 (as amended by laws of 1911, ch. 75, sec. 1). It shall be the duty of every 
physician or other person caring for the sick in the State of Utah, to make a report to 
the local board of health immediately after such person becomes aware of the exist- 
ence of any case of scarlet fever, diphtheria, membranous croup, whooping cough, 
smallpox, typhoid fever, measles, tuberculosis, Asiatic cholera, rubella (rotheln), 
chicken pox, typhus fever, plague, cerebro spinal meningitis, infantile paralysis, 
leprosy, or pneumonia, in his or her charge, and it shall be the duty of every person, 
owner, agent, manager, principal, or superintendent of any public or private institu- 
tion, or dispensary, hotel, boarding house, or lodging house to make a report in like 
manner of any inmate, occupant, or boarder, suffering from any of the said infectious 
or contagious diseases; and in case such physician or other person shall fail to report 
in twenty-four hours, said person shall be deemed guilty of a misdemeanor. 

Sec. 1113x27. It shall be the duty of every physician in the State, every super- 
intendent of hospital or public institution in the State, to immediately report to the 
State board of health every case of tuberculosis which he is called upon to treat or 
which is in such hospital or public institution; each and every physician or superin- 
tendent shall make such reports as may be called for by the rules and regulations of 
the State board of health, and must comply with all rules and regulations made by 
said board to prevent the spread of such disease. 

Any person violating any provision of this act shall be guilty of a misdemeanor. 

(Acts of 1911, ch. 61.] 

Section 1. It shall be the duty of every physician and every midwife attending a 
case of childbirth to report to the local board of health every case where the newly 
born child has inflammation of the eyes attended by a discharge therefrom. Such 
report to be made within six hours after the appearance of such disease. It shall be 
the duty of such physician or midwife to treat the eyes of the child so affected in 
accordance with the rules of the State board of health. Every physician and midwife 
failing to comply with the provisions of this act shall be guilty of a misdemeanor. 


151 


[Laws of 1911, ch. 90.] 

Section 1. Physicians and superintendents of hospitals to report cases. — It shall be the 
duty of every physician in this State, every superintendent or manager of a hospital 
or public institution in this State, to immediately report to the local board of health, 
every case of venereal disease, which he is called upon to treat or which is in such 
hospital or public institution, and each and every physician, superintendent or man- 
ager of such hospital or institution shall make such reports as may be called for by the; 
rules and regulations of the State boards of health of this State and must comply with 
all the rules and regulations made by said boards to prevent the spread of venereal 
diseases: Provided, That the report of such venereal disease shall not include the name 
of the person affected. 

Sec. 2. Rules and regulations. — It shall be the duty of all boards of health to enact 
and enforce rules and regulations necessary to prevent the spread of venereal diseases. 

Sec. 3. Penalty. — Any person violating any of the provisions of this act shall be 
guilty of a misdemeanor. 


VERMONT. 

[Public Statutes, 1906.] 

Sec. 5446. The State board of health shall have power to designate a health officer 
of a town adjoining an unorganized town or gore as the health officer of such unor- 
ganized town or gore; and said health officer shall report to the secretary of said board 
every case of contagious disease mentioned in this chapter of which he has informa- 
tion or knowledge as existing in such unorganized town or gore. * * * 

Sec. 5447. The head of a family in such unorganized town or gore in whose home 
there occurs a case of infectious or contagious disease dangerous to the public health 
shall immediately give notice to said health officer. A physician who knows or sus- 
pects that a person in such unorganized town or gore whom he has been called to 
attend is sick or has died of a communicable disease dangerous to the public health 
shall at once quarantine and report to said health officer the place where such cause 
exists, the name, degree of virulence, and cause or source of the disease. * * * 
The head of a family or a physician who fails to give reasonable notice to said health 
officer of the existence of such a disease shall be fined not more than fifty dollars nor 
less than ten dollars, with costs of prosecution. 

******* 

Sec. 5450. A physician who is consulted by a person subject to tuberculosis shall 
submit the name and address of such person to the secretary of the State board of 
health upon such blanks as it may furnish. * * * 

******* 

Sec. 5453. Each health officer shall report to the secretary of the State board of 
health, immediately after receiving information or knowledge thereof, every case of 
smallpox, varioloid, Asiatic cholera, typhus fever, or yellow fever within the juris- 
diction of such local board. * * * 

Sec. 5454. The head of a family in whose home there occurs a case of infectious or 
contagious disease dangerous to the public health shall immediately give notice thereof 
to the local health officer of the town in which he lives. A physician who knows or 
suspects that a person whom he has been called to attend is sick or has died of a com- 
municable disease dangerous to the public health shall immediately quarantine and 
report to the health officer the place where such case exists, and the name, degree of 
virulence, and cause or source of the disease. * * * 

Sec. 5455 (as amended by acts of 1910-11, ch. 217). A health officer shall, upon 
receiving notice of a case of infectious or contagious disease dangerous to the public 
health, investigate and ascertain, if possible, the source or cause of the disease, * * * 
and immediately report the facts to the secretary of the State board of health. When 


152 


a communicable disease prevails or becomes epidemic, said health officer shall make 
weekly reports concerning such disease or diseases to the secretary of the State board of 
health. * * * 

VIRGINIA. 

[] Pollard’s Code of 1904.] 

Sec. 1713d. * * *. 

******* 

11. The State board of health may require any local board of health to furnish 
periodically to said State board such facts connected with vital statistics in its city, 
county, or town as said State board of health may prescribe. 

12. The State board of health shall annually, on or before the first day of January in 
each year, make a written report to the governor upon the vital statistics and sanitary 
conditions and prospects of the State. * * * 

EActs, 1910, ch. 307.] 

1. Every physician practicing in this Commonwealth who shall know or suspect 
that any person whom he or she is called upon to visit, or who comes to him or her 
for examination or treatment, is suffering from any infectious, contagious, commu- 
nicable or dangerous disease shall make report in writing, on blanks to be furnished 
for that purpose by the State board of health, to the executive officer of the board 
of health of the county, town, or city in which such person may be located, over 
his or her own signature, stating the name of the disease, and the name, color, sex, 
and age of the person suffering therefrom, together with the street and number or 
such other sufficient designation of the house, room, or other place in which said 
person may be located, and such other information as may be deemed necessary by 
said health authorities. 

2. The State board of health is hereby authorized to prepare and promulgate from 
time to time a list of diseases considered as infectious, contagious, communicable, or 
dangerous within the meaning of this act, and to prescribe the manner and time of 
the report called for by the preceding section. 

3. For failure to comply with the }>rovisions of this act the physician so failing 
shall be fined not less than one nor more than five dollars for each offense. 

[Acts of 1910, ch. 340.] 

• Sec. 7. It shall be the duty of the local authorities of the cities, towns, and counties 
of the State to report weekly to the State board of health all cases of infectious, con- 
tagious, communicable, or dangerous diseases which have occurred under their juris- 
diction, except that it shall be their duty to report immediately any case or cases 
of s ma llpox, yellow fever, cholera, typhus fever, or bubonic plague that may occur 
within their jurisdiction. * * * 


WASHINGTON. 

[ Remington & Ballinger’s Annotated Codes and Statutes, 1910.] 

Sec. 5407. It shall be the duty of the local board of health, health authorities, or 
officials, and of physicians in localities where there are no local health authorities or 
officials, to report to the State board of health, promptly upon discovery thereof, the 
existence of any one of the following diseases which may come under their observa- 
tion, to wit: Asiatic cholera, yellow fever, smallpox, scarlet fever, diphtheria, typhus, 
typhoid fever, bubonic plague or leprosy, and of such other contagious or infectious 
diseases as the State board may from time to time specify. * * * 

Sec. 553G. It shall be the duty of every health officer appointed under the provi- 
sions of this chapter, or by the provisions of special charters, upon the appearance of 
smallpox, diphtheria, scarlet fever, Asiatic cholera, or dangerous contagious disease 


153 


in the town or city under his supervision, * * * to make full report thereof to 
the board of health of which he is an executive officer, and also to the State board of 

health. * * * The term “dangerous contagious disease” as used in this chapter 

shall be construed and understood to mean such diseases as the State board of health 
shall designate as contagious and dangerous to the public health. * * 

Sec. 5540. It shall be the duty of every health officer appointed under the provisions 
of this chapter * * * to report to the State board of health any information he 
may receive of any case of smallpox, cholera, yellow fever, or typhus fever within 
three days after receiving any notification or information of the existence of such 
disease; and any health officer * * * who shall fail or neglect to comply with the 
provisions of this section shall be liable to a penalty of not less than ten dollars nor 
more than one hundred dollars for each day of such neglect or refusal to comply with 
the provisions of this section. 

Sec. 5544. * * * All city health officers except those of cities of the first class 
shall report immediately to the State board of health every new outbreak of any 
contagious or infectious disease and shall make weekly reports to the county health 
officer of all contagious or infectious diseases occurring within the city. 

It shall be the duty of all health officers, upon the appearance of any dangerous, 
contagious, or infectious diseases within their jurisdiction, * * * to make a full 
report thereof, as required above. * * * 

Sec. 5545. Whenever any physician shall attend any person sick with any danger- 
ous, contagious, or infectious disease, or with any diseases required by the State board 
of health to be reported, he shall, within twenty-four hours, give notice thereof to 
the health officer within whose jurisdiction such sick person may then be. 

******* 

Sec. 5547. The term “dangerous, contagious, or infectious disease,” as used in 
this chapter shall be construed and understood to mean such disease or diseases as the 
State board of health shall designate as contagious or infectious and dangerous to 
the public health. 

Sec. 5548. Any health officer who shall refuse or neglect * * * to make prompt 
and accurate reports to the county health officer or to the State board of health may be 
removed as health officer by the State board of health, and shall not again be reap- 
pointed except with the consent of the State board of health. 

* * * Any physician who shall refuse or neglect to report to the proper health 
officer within twelve hours after first attending any case of contagious or infectious 
disease or any disease required by the State board of health to be reported, or any 
case suspicious of being one of such diseases, shall be guilty of a misdemeanor, and upon 
conviction shall be fined not less than ten dollars nor more than two hundred dollars for 
each case that is not reported. 

******* 

Sec. 5550. All practicing physicians in cities of the first and second class in said 
State are hereby required to report to the local boards of health of such cities, in writ- 
ing, the name, age, sex, occupation, and residence of every person having tubercu- 
losis who has been attended by, or who has come under the observation of such phy- 
sician for the first time, within five days of such time. 

Sec. 5551. All local boards of health of cities of the first and second class in this 
State are hereby required to receive and keep a permanent record of the reports 
required by section five thousand five hundred and fifty to be made to them; such 
records shall not be open to public inspection, but shall be submitted to the proper 
inspection of other local and State boards of health alone, and such records shall not 
be published nor made public. 

******* 

Sec. 5553. Any practicing physician who shall wilfully fail to comply with the pro- 
visions of section five thousand five hundred and fifty shall be guilty of a misdemeanor. 


154 


and on conviction thereof may be fined for the first offense not exceeding five dollars 
and for any subsequent offense not exceeding one hundred dollars. 

WEST VIRGINIA. 

[Supplement to Code, 1909.] 

Sec. 4383. * * * The said local board of health shall make and establish for 
their county, or for any district, or place therein, such sanitary regulations or rules as 
they may deem proper to prevent the outbreak and spread of cholera, smallpox 
scarlet fever, diphtheria, tuberculosis, and other endemic, epidemic, infectious, and 
contagious diseases, * * *, it shall be the duty of every practicing physician in 
any county in which there is such local board of health to report promptly all or any 
diseases of the above-named character under treatment by him, and said local board 
shall once at least in every three months report to the State board of health the char- 
acter of all such infectious, contagious, and epidemic diseases, the number of persons 
reported as infected with such diseases, naming the same, the action taken by the 
local board to arrest the progress of every such disease and the visible effects, if any, 
of such action. 

***** it * 

WISCONSIN. 

[Annotated Statutes, 1898.] 

Sec. 925 — 111b. It shall be the duty of every physician practicing in any city which 
has adopted this chapter (cities under general law) to report in writing to the com- 
missioner of public health every patient he shall have who is sick with smallpox, 
scarlet fever, diphtheria, typhoid fever, Asiatic cholera, or any other dangerous con- 
tagious disease, within twenty-four hours after he shall ascertain or suspect the nature 
of such disease. The reports shall be in such form as may be prescribed by the State 
board of health, and shall state the name, sex, age, and place of residence of the person 
whose sickness is reported, the nature of the disease and such additional facts as said 
board may prescribe. Any practicing physician who shall refuse or neglect to perform 
the duties required of him by this section, or who shall make a false return of the facts 
required, shall be punished by a fine not less than twenty-five dollars nor more than 
one hundred dollars for each offense, or by imprisonment in the county jail for a period 
not exceeding sixty days, or by both fine and imprisonment. 

***** * 

Sec. 1409a-2. (Added by acts of 1909, ch. 59.) * * * Should one or both eyes 
of an infant become inflamed, swollen, and red, and show an unnatural discharge at 
any time within two weeks after its birth, nurse, parents, or other attendant having 
charge of such infant shall report in writing, within six hours thereafter, to the board 
of health of the city, incorporated village, or town in which the parents of the infant 
reside the fact that such inflammation, swelling, redness,"or unnatural discharge exists. 
* ****** 

Sec. 1412. It shall be the duty of every health officer, chosen under the provisions 
of the preceding section, or under any village or city charter, upon the appearance 
of any dangerous contagious disease in the territory Avithin the jurisdiction of the board 
of which he is a member, to immediately investigate all the circumstances attendant 
upon the appearance of such disease, make a full report to such board, and also to the 
State board of health. * * * 

Sec. 1412a (as amended by Acts of 1909, ch. 85). 'WTienever any physician practicing 
in this State shall know or have good reason to believe that any person whom he treats 
or visits is sick with a dangerous, contagious, or infectious disease, he shall, imme- 
diately after obtaining such knowledge or forming such belief, give notice thereof in 
writing, stating the name, sex, age, and place of residence of person whose sickness is 


155 


reported, the nature of the disease and such additional facts as said board may pre- 
scribe to the board of health of the town, city, or village in which such sick person shall 
then be, and if he shall fail to so do for a period of twenty-four hours thereafter, he 
shall forfeit not less than five nor more than twenty-five dollars for each day of such 
failure after the expiration of said twenty-four hours, provided such notice may be 
sent by mail, or, except in cities, may be given to, or left at the residence of, any 
member of the board of health. When any person is sick with any such disease, and 
no physician is in attendance upon such person, the provisions of this section shall 
apply to the responsible head of the family of which he is a member, or if the sick person 
is not a member of the family occupying the house or building in which he may be, 

the person in charge thereof. * * * . 

******* 

Sec. 1416—1 (Acts of 1905, ch. 192, as amended by Acts of 1907, ch. 93). It shall be 
the duty of every physician to report to the department of health in every town, 
incorporated village, or city, in writing, the full name, age, and address of every person 
suffering from any one of the infectious or contagious diseases following, to wit: Measles, 
smallpox, diphtheria (membranous croup), scarlet fever (scarlatina), typhoid fever, 
tuberculosis (of any organ), rubella (rotheln), chicken pox, typhus fever, plague, ery- 
sipelas, Asiatic cholera, whooping cough, cerebro-spinal meningitis, yellow fever; 
and it shall be the duty of every person, owner, agent, manager, principal, or superin- 
tendent of any public or private institution or dispensary, hotel, boarding or lodging 
house, in any such town, incorporated village, or city to make a report in like manner 
and form of any inmate, occupant, or boarder suffering from any of the said infectious 
or contagious diseases. 

* * • * * * * * 

Sec. 1416—3 (amended by Acts of 1907, ch. 93). It shall be the duty of every person 
having knowledge of the existence of any person afflicted with any one of the following 
infectious or contagious diseases, to wit: Measles, diphtheria (membranous croup), 
scarlet fever, typhoid fever, tuberculosis, smallpox, Asiatic cholera, typhus fever, 
rubella (rotheln), plague, and whooping cough, or has reason to believe that any 
person is so afflicted, to at once report to the health department of such town, incor- 
porated village, or city all facts in regard to the case. * * * 

Sec. 1416 — 4 (amended by Acts of 1907, ch. 93). It shall be the duty of every phy- 
sician, or person, or owner, agent, manager, principal, or superintendent of each and 
every public or private institution or dispensary, hotel, boarding or lodging house, 
in any such city to report to the department of health thereof, in writing, or to cause 
such report to be made by some proper and competent person, the name, age, sex, 
occupation, and latest address of every person afflicted with tuberculosis, who is in 
their care, or who has come under their observation, within one week of such time. 

WYOMING. 

E Compiled statutes, 1910.] 

Sec. 2934. * * * It shall be their [State board of health] duty to investigate 
regarding all contagious and infectious diseases that are a menace to public safety, 
and they shall collect such information in respect to these matters as may be useful 
in the discharge of their duties and contribute to the promotion of health and 
security of life in this State. 

******* 

Sec. 2936. * * * When in any county a case of smallpox, cholera, typhoid 
fever, scarlet fever, diphtheria, or other epidemic or contagious or infectious disease 
is known to exist, it shall be the duty of the county health officer of such county to 
immediately notify the secretary of the State board of health of the existence of th-e 

same, with such facts as to its cause and continuance as may then be known. 
******* 


156 


Sec. 2942. It shall be the duty of every practicing or licensed physician in the State 
of Wyoming to report immediately to the secretary of the State board of health and 
county health officer, by telegram or telephone, or in the most expeditious manner, 
every case of smallpox, cholera, scarlet fever, diphtheria, or contagious or infectious 
disease that is a menace to public health, and such telegram shall be paid for out of the 
funds provided for the expenses of said State board of health. 

Sec. 2943. Any practicing or licensed physician who shall fail to report to said 
secretary any such case in the manner provided in the preceding section, or shall 
willfully make any false report regarding any such case, shall be guilty of a misde- 
meanor, and upon conviction thereof shall be fined in the sum of not less than one 
hundred dollars and not more than one thousand dollars, or imprisoned in the county 
jail not less than six months nor more than one year. 

NEW YORK. 

[Laws of 1911, ch. 258.] o 

Sec. 1. Article four of the labor law, entitled “An act relating to labor, constitut- 
ing chapter thirty-one of the consolidated laws,” is amended by the addition of a 
new section numbered fifty-eight, to read as follows: 

§ 58. Industrial poisonings to he reported.— I . Every medical practitioner attending 
on or called in to visit a patient whom he believes to be suffering from poisoning from 
lead, phosphorus, arsenic or mercury or their compounds, or from anthrax, or from 
compressed air illness, contracted as the result of the nature of the patient’s employ- 
ment, shall send to the commissioner of labor a notice stating the name and full 
postal address and place of employment of the patient and the disease from which, 
in the opinion of the medical practitioner, the patient is suffering, with such other 
and further information as may be required by the said commissioner. 

2. If any medical practitioner, Avhen required by this section to send a notice, 
fails forthwith to send the same, he shall be liable to a fine not exceeding ten dollars. 

3. It shall be the duty of the commissioner of labor to enforce the provisions of this 
section, and he may call upon the State and local boards of health for assistance. 

Sec. 2. This act shall take effect September first, nineteen hundred and eleven. 


a Copy of law received too late for insertion in proper order. 


SOME COURT DECISIONS HAVING A BEARING ON 
THE NOTIFICATION OF DISEASE.* 


IOWA. 

******* 

2. The statute requires the collection of statistics pertaining to the population of 
the State and the health of the people which may impart information useful in the 
enactment of laws and valuable to science and the medical profession, to whom the 
people look for remedies for disease and for means tending to preserve health. The 
objects of the statutes are within the authority of the State, and may be attained in 
the exercise of its police power. Similar objects are contemplated by statutes requir- 
ing a census to be periodically taken, the constitutionality of which we have never 
heard questioned. 

3. We need not inquire whether the requirements of the statute are unjust or 
oppressive. These are matters for the consideration of the legislative part of the 
Government. We may observe that it is difficult to discover oppression or injustice 
in requiring the medical profession to make known to the world statistics which may 
promote and are promoting the public health. 

4. One ground of the demurrer is that defendant, under the statute, is required to 
do that which it is hnpossible for him to perform. The law requires of no man impos- 
sibilities. If the information sought from defendant could not have been obtained 
by him in the bona fide exercise of reasonable diligence, the law will not punish him 
for not imparting it. A physician should honestly endeavor to obtain and report all 
information required by the regulations of the statute and the board of health. This 
is his duty as a surgeon and is imposed as an obligation by the ethics of the useful and 
honorable profession of which he is a member. * * * (Robinson, Clerk, etc., v. 
Hamilton, 14 N. W. Rep., 202; 60 Iowa, 134.) 

MICHIGAN. 

* * * It is true that the evidence showed that a week or ten days after these 
children had been pronounced by the defendant as suffering from diphtheria, he 
stated to the health officer, Mr. John, as the health officer testifies, that “they had 
diphtheria at Lotharias’ and Heft’s,” and that immediately after the board of health 
took steps to prevent its spread. Yet this was not the notice required by the statute, 
which is to be in writing, giving the name, place of residence, and nature of the 
disease. Upon this branch of the case the court directed the jury that it was a ques- 
tion for them to determine whether the defendant failed to report the cases within 
a reasonable time after he discovered the existence of the disease, and that in cases 
like diphtheria, where the disease is virulent and rapid in its action, eight days were 
not a reasonable time. There was no error in this charge, and we think the court 
would have been justified in saying that no notice was given at all, as required by 
the statute. * * * (People v. Brady, 51 N. W. Rep., 537; 90 Mich., 459.) 

1 No attempt has been made to compile all court decisions on the subject, but those at hand have 
been inserted because of their possible interest. 


(157) 


158 


CONNECTICUT. 

The ordinance of the city of Bridgeport requiring every physician having any 
patient within the city limits sick with smallpox or varioloid, or other contagious or 
pestilential disease, to report the fact to the mayor or to the clerk of the board of health, 
together with the name of the patient and the street and number of the house where 
treated, under a penalty not exceeding $50 for each violation of the ordinance was 
held to be valid and not conflicting with the constitutional rights of the citizens, 
the legislature having power to authorize its enactment by the common council. 

“The unequality of burden of which the defendant complains is only in seeming. 
Persons offering their services to the public as healers of disease and requiring pecuni- 
ary compensation therefor thereby assert their ability to detect the presence of it 
when the great mass of the people can not. The people accede to the truth of their 
assertion, and in the matter of life surrender themselves to their keeping. Of course 
an ordinance in the interest of life must detect the presence of a fatal contagious 
disease at the earliest possible moment. Therefore with impartial action it compels 
that member of the community who is the first to have sight and knowledge of it to 
give note of warning to others from whom its presence is hidden. It would be idle 
to require, indeed there would be danger in accepting, this service from those who 
can not see or do not know. The burden is made to rest upon every member of the 
only class which is in a condition to contribute anything to the accomplishment of 
the purpose of the ordinance.” (State v. Wordin, 14 Atl. Rep., 801; 56 Conn., 216.) 


LIST OF PUBLIC HEALTH BULLETINS. 

The following is a list of the Public Health Bulletins that have been issued: 

*1. Report on Trichinae and Trichinosis. By W., C. W. Glazier. 1881. 212 pages. 

. 87 il. 1 map. Paper. Senate Executive Document No. 9, Forty-sixth 
Congress, third session. Out of print. 

*2. Report on the Etiology and Prevention of Yellow Fever. By George M. Stern- 
berg. 1890. 271 pages. 21 pi. 20 il. Cloth. Out of print. 

3. Mortality Statistics in the United States for the year ending December 31, 1897. 

From Annual Report ^larine-Hospital Service, 1898. 24 pages. Paper. 

4. Yellow Fever; Its Nature, Diagnosis, Treatment, and Prophylaxis and Quaran- 

tine Regulations Relating thereto. By officers of the Marine-Hospital 
Service. Reprint from Annual Report Marine-Hospital Service, 1898. 
176 pages. 1 il. Paper. 

*5. Shipment of Merchandise from a Town Infected with Yellow Fever. By H. R. 
Carter. 1899. 15 pages. Paper. Out of print. 

6. Report of Commission of Medical Officers Detailed by Authority of the President 
to Investigate the Cause of Yellow Fever. By Eugene Wasdin and H. D. 
Geddings. July, 1899. 98 pages. 26 charts. 2 il. Paper. 

*7. The Bubonic Plague. By Walter Wyman. January, 1900. 50 pages. Paper. 
Superintendent of Documents, 5 cents. 

*8. Report of Commission Appointed by the Secretary of the Treasury for the Investi- 
gation of Plague in San Francisco. By Prof. Simon Flexner, Prof. F. G. 
Novy, and Prof. L. F. Barker. January 23, 1901. 23 pages. Imap. Paper. 
Out of print. 

9*. Report Relating to the Origin and Prevalence of Leprosy in the United States. 
By a Commission of Medical Officers of the U. S. Marine-Hospital Service. 
1902. 119 pages. 25 il. Paper. Senate Document No. 269, Fifty-seventh 

Congress, first session. Superintendent of Documents. Cloth, $1.00. 

*10. Plague Conference. Containing a copy of the address of the chairman, and resolu- 
tions passed by a conference called in accordance with requests from a 
number of State Boards of Health, and under authority of section 7, act of 
Congress approved July 1, 1902, to consider the plague situation. Reprint 
from P. H. R. No. 4, Vol. XVIII, January 23, 1903. 9 pages. And February 
6, 1903. 41 pages. Paper. Out of print. 

11. Transactions of the First Annual Conference of State and Territorial Health 

Officers with the United States Public Health and Marine-Hospital Service. 
June, 1903. 120 pages. Cloth. 

12. Transactions of the Second Annual Conference of State and Territorial Health 

Officers with the United States Public Health and Marine-Hospital Service. 
June, 1904. 95 pages. Cloth. 

13. The Public Health and Marine-Hospital Service of the United States. A Brief 

History. Prepared for the Louisiana Purchase Exposition. December, 
1904. 16 pages. Paper. 

*14. Sanatorium for Consumptives, Fort Stanton, N. Mex. By P. M. Carrington. 

Reprint from Annual Report Public Health and Marine-Hospital Service, 
1904. 19 pages. Paper. Out of print. 


* Exhausted and not for distribution. 

(159) 


160 


15. Transactions of tlie Third Annual Conference of State and Territorial Health 

Officers with the United States Public Health and Marine-Hospital Service. 
May, 1905. 52 pages. Cloth. 

16. How to Prevent Yellow Fever — No Mosquitoes, No Yellow Fever. By Walter 

Wyman. July 31, 1905. 3 pages. Circular. 

17. Transactions of the Fourth Annual Conference of State and Territorial Health 

Officers with the United States Public Health and Marine-Hospital Service. 
May, 1906. 75 pages. Cloth. 

18. Transactions of the Fifth Annual Conference of State and Territorial Health 

Officers with the United States Public Health and Marine-Hospital Service. 
May, 1907. 47 pages. Cloth. 

19. Trachoma, Its Character and Effects. By Taliaferro Clark and J. W. Schere- 

schewsky. 1907. 34 pages. 6 il. Paper. 

*20. The Public Health and Marine-Hospital Service of the United States. A Brief 
History. Prepared for the Jamestown Ter-Centennial Exposition. 1907. 
12 pages. Paper. Out of print. 

21. Transactions of the Sixth Annual Conference of State and Territorial Health 
Officers with the United States Public Health and Marine-Hospital Service. 
April, 1908. 79 pages. Cloth. 

*22. The Present Pandemic of Plague. By J. M. Eager. 1908. 30 pages. Paper. 
Out of print. 

23. Pellagra — A Precis. By C. H. Lavinder. July 24, 1908. 22 pages. 1 il. 

Paper. 

24. The Marine-Hospital Sanatorium, Fort Stanton, N. Mex. Prepared for the 

International Congress on Tuberculosis, held in Washington, September, 
1908. 32 il. 56 pages. Paper. 

*25. Hookworm Disease. Reprint from Annual Report P. H. and M. H. S., 1908. 
5 pages. Paper. Out of print. 

26. Studies upon Leprosy. 

I. The Present Status of the Leprosy Problem in Hawaii. 

II. The Reaction of Lepers to Moro’s “Percutaneous” Test. 

III. A Note Upon the Possibility of the Mosquito Acting in the Transmission of 

Leprosy. By W. R. Brinckerhoff. 1908. Investigations made in accord- 
ance with the act of Congress approved March 3, 1905. 24 pages. Paper. 

27. Studies upon Leprosy. 

IV. Upon the Utility of the Examination of the Nose and the Nasal Secretions 

for the Detection of Incipient Cases of Leprosy. By W. R. Brinckerhoff 
and W. L. Moore. 1909. Investigations made in accordance with the act 
of Congress approved March 3, 1905. 29 pages. Paper. 

28. Studies upon Leprosy. 

V. A Report upon the Treatment of Six Cases of Leprosy with Nastine (Deycke). 
By W. R. Brinckerhoff and J. T. Wayson, Honolulu, T. H. 

VI. Leprosy in the United States of America in 1909. By W. R. Brincker- 
hoff. 1909. Investigations made in accordance with the Act of Congress 
approved March 3, 1905. 25 pages. Paper. 

29. The Prevalence of Rabies in the United States. By J. W. Kerr and A. M. Stini- 

son. 1909. 16 pages. Paper. 

30. The Rat and its Relation to the Public Health. By various authors. 1910. 

254 pages. 60 figs. 6pls. Paper. 

1. Introduction. By W^alter Wyman. 

2. Natural History of the Rat. By D. E. Lantz. 

3. Plague Infection in Rats. By G. W. McCoy. 


* Exhausted and not for distribution. 


161 


30. The Rat and its Relation to the Public Health — Continued. 

4. Rat Leprosy. By W. R. Brinckerhoff. 

5. Bacterial Diseases of the Rat other than Plague. By D. H. Currie. 

6. Organic Diseases of the Rat. By G. W. McCoy. 

7. Ecto Parasites of the Rat. By N. Banks. 

8. Intestinal Parasites of Rats and Mice in their Relation to Diseases of Man. 

By C. W. Stiles. 

9. Rodents in Relation to the Transmission of Bubonic Plague. By Rupert 

Blue. 

10. Rodent Extermination. Rats and Mice. By W. C. Rucker. 

11. Natural Enemies of Rats. By D, E. Lantz. 

12. Rat-Proofing as an Antiplague Measure. By R. H. Creel. 

13. Inefficiency of Bacterial Viruses in the Extermination of Rats. By M. J. 

Rosenau. 

14. Plague Eradication in Cities by Section Extermination of Rats and Gen- 

eral Rat-Proofing. By Victor G. Heiser. 

15. The Rat in Relation to Shipping. By W. C. Hobdy. 

16. The Rat as an Economic Factor. By D. E. Lantz. 

17. The Rat in Relation to International Sanitation. By J. W. Kerr. 

31. Transactions of the Seventh Annual Conference of State and Territorial Health 

Officers with the United States Public Health and Marine-Hospital Service. 
June, 1909. 86 pages. Cloth. 

32. Hookworm Disease (or Ground-Itch Anemia), its Nature, Treatment, and Pre- 

vention. By Prof. C. W. Stiles. 1910. 40 pages. Paper. 

33. Studies upon Leprosy. 1910. 25 pages. Paper. 

VII. A Statistical Study of an Endemic Focus of Leprosy. By W. R. 
Brinckerhoff and A. C. Reinecke. 

VIII. A Palliative Treatment for Leprous Rhinitis. By J. T. Wayson and 
A. C. Reinecke. 

34. Maritime Quarantine. By L. E. Cofer. 1910. 25 figs. 64 pages. Paper. 

Appendix: Disinfectants Authorized by United States Quarantine Regula- 
tions and the Proper Method of Generating and Using Same. 

35. The Relation of Climate to the Treatment of Pulmonary Tuberculosis. By F. C. 

Smith. 1910. 17 pages. Paper. 

36. Tuberculosis: Its Nature and Prevention. By F. C. Smith. 1910. 12 pages. 

1 plate. Paper. 

37. The Sanitary Privy: Its Purpose and Construction . By Prof. C. W. Stiles. 1910. 

24 pages. 12 figs. Paper. 

38. General Observations on the Bionomics of the Rodent and Human Fleas. By 

M. B. Mitzmain. 1910. 34 pages. Paper. 

39. Studies upon Leprosy. September, 1910. 50 pages. Paper. 

IX. Mosquitoes in Relation to the Transmission of Leprosy. 

X. Flies in Relation to the Transmission of Leprosy. By D. H. Currie; 

XI. Heredity Versus Environment in Leprosy. By H. T. Hollmann. 

40. Transactions of the Eighth Annual Conference of State and Territorial Health 

Officers with the United States Public Health and Marine-Hospital Service. 
November, 1910. 101 pages. Paper. 

41. Studies upon Leprosy. November, 1910. 32 pages. Paper. 

XII. Notes on the Study of Histories of Lepers from the Standpoint of Trans- 

mission. By D. H. Currie. 

XIII. A Contribution to the Study of Rat Leprosy. By D. H. Currie and 
H. T. Hollmann. 


93321°— 11 11 


162 


42. Disinfectants. Their Use and Application in the Prevention of Communicable 

Diseases. By T. B. McClintic. December, 1910. 

43. I. Studies upon Plague in Ground Squirrels. II. A Plague-like Disease of 

Rodents. By George W. McCoy. February, 1911. 71 pages. 7 pis. 
Paper. 

44. Acute Anterior Poliomyelitis (Infantile Paralysis). By Wade H. Frost. Feb- 

ruary, 1911. 52 pages. Paper. 

45. A Digest of the Laws and Regulations of the Various States Relating to the Re- 

porting of Cases of Sickness. By John W. Trask. 


INDEX. 


Acute anterior poliomyelitis. See Poliomyelitis. 

Actinomycosis, notification of: Page. 

Massachusetts 31-32, 69 

Pennsylvania 51, 70, 144-145 

Agents: 

County sanitary, Florida 18 

Board of health, Hawaii 20 

Anterior poliomyelitis. See Poliomyelitis. 

Anthrax, notification of: 

California 13, 14, 66, 69, 111-112 

Illinois 22, 23, 69 

Massachusetts 31-32, 69 

Michigan 33, 132 

New Jersey 40, 70, 136-137 

New York 42-43,70 

Pennsylvania 51, 70, 144-145 

Texas 57,70,149-150 

See also Occupation diseases. 

Arsenate of lead. See Occupation diseases. 

Arsenic, poisoning by. See Occupation diseases. 

Asiatic cholera. See Cholera. 

Assessor of township, reports to. New Jersey 40, 136 

Asylums. See Institutions, 

Baltimore, Md 29 

Barber’s itch, notification of, Oregon 49 

Baton Bouge, La 27 

Beriberi, notification of: 

Alabama 11,69,110 

California 13,14,69,111-112 

Porto Rico 52,70,146 

Washington 61-62,70 

Board of revenue, reports to, Alabama HO 

Boards of health : 

Cotinty — 

Alabama 11,66.98 

Arizona 12,98 

Arkansas 12 93 

Colorado I5’ 98 

Georgia 19^99 

21,99 

Illinois 22,100 

Kansas 25,100 

Kentucky 26,100 

Louisiana 27, 100 

Maryland 29,101 

Min'ne^ta.i 34,101 

( 163 ) 


164 


Boards of health — Continued. 
County — Continued . 

Mississippi 

Missouri 

Montana. 

Nebraska 


Nevada 

North Carolina 
North Dakota. 

Oregon 

South Dakota. 

Tennessee 

Utah 


Virginia 

Washington 

West Virginia . . . 

Municipal — 

Arizona 

Arkansas 

California 

Colorado 

Delaware 

Georgia 

Idaho 

Illinois 

Indiana 

Iowa 

Kentucky 

Louisiana 

Maine 

Massachusetts. . . 

Michigan 

Minnesota 

Mississippi 

Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 

New Jersey 

New Mexico 

New York 

. -North Dakota... 
Ohio 


Oklahoma 

Oregon 

Pennsylvania. . 
Rhode Island - . 
South Carolina 
South Dakota. 

Tennessee 

Utah 

Vermont 

Virginia 


Page. 

35,101 

36,102 

36,102 

37,102 

38,102 

44,103 

44,103 

49,104 

55,105 

55,105 

.. 57 - 58,105 
.. 59 - 60,106 

61,106 

63*106 

12,98 

.... 12 , 66,98 

13,98 

15,98 

17,99 

19,99 

21,99 

22,100 

... 23 - 24,100 

25,100 

26,100 

27,100 

28,101 

31, 101 

32,101 

34,101 

35,101 

36,102 

37,102 

37,102 

38,102 

39,102 

40,102 

41,102 

42,103 

45,103 

46,103 

48,103 

49,104 

50,104 

53,104 

54,104 

55,105 

... 56 , 68,105 

58.105 

59.105 
,,,^.159-60, 106 


165 


Boards of health — Continued. 


iinicipal — Continued. 


Page. 

W Jisliincrfnn 


61 

West Virginia 


63,106 

Wisconsin 


63,106 

fate and Territorial — 



Alabama 


11,66,98 

Arizona 


12,98 

Arkansas 


12,98 

California 


13,98 

Colorado 


15,98 

Connecticut 


15,98 

Delaware 


16,99 

Florida 


18,99 

Georgia 


19,99 

Hawaii 

• 

20,99 

Idaho 


21,99 

Illinois 



Indiana 



Iowa 



Kansas 



Kentucky 



Louisiana 



Maine 



Maryland 



Massachusetts 



Michigan 



Minnesota 



Mississippi 



Missouri 



Montana qc ino 

Nebraska 



Nevada 



New Hampshire 



New Jersey 



New Mexico 



North Carolina 



North Dakota 44 * ioq 


Oklahoma 



Oregon aq 

Porto Rico 



Rhode Island ko\(\a 

Sout/h C^^rolinSi . . . . _ . . . p" i a ^ 

South Dakota 



Tennessee 

Texas 



Utah VJVZ. 

Vermont 



Virginia 



Washington 



,^J. . . two 

West Virginia ^0 

Wisconsin 



^ \JOy J.UO 

Wyoming g 4 ^ 


166 


Boards of health — Continued. 

Township (town) — • Paga 

Illinois i i - ^ 22, 100 

Iowa 25, 100 

Maine 28, 101 

Massachusetts 31, 101 

Michigan 32,101 

Minnesota 34,101 

New Hampshire 39,102 • 

New Jersey 40,102 

New York 42,103 

North Dakota 45,103 

Ohio 46,103 

Oklahoma 47, 103 

Pennsylvania - 50,104 

Rhode Island 53, 104 

Vermont 59, 105 

Wisconsin 63,106 

Poston, Mass 31 

Brass, manufacture of. See Occupation diseases. 

Bubonic plague. See Plague. 

Cancer, notification of; 

Michigan 32 

New York 42-43,70 

Carcinoma. See Cancer. 

Cedar itch 61 

Cerebrospinal meningitis, notification of: 

Alabama 11,69,110 

California 13, 14, 69, 111-112 

Connecticut 16 

District of Columbia 17, 18, 69, 116 

Hawaii 20-21,69,118-119 

Idaho 21-22,69 

Iowa 25, 69 

Kansas 25—26, 69, 124 

Louisiana 27-28 

Maine 28-29, 69, 126 

Massachusetts 31-32,69 

Michigan 32-33, 69 

Minnesota 34-35,70 

Montana 37, 70, 133-1 o4 

Nebraska 37-38, 70 

New York 42-43,70 

Ohio 47,70 

Oregon 49,70 

Pennsylvania 51, 70, 144-145 

Porto Rico 52, 70, 146 

Rhode Island 53, 70, 147 

South Carolina 54,70 

Tennessee 

Texas ^6, 149-150 

Utah 58, 70, 150 

Washington 61-62,70 

Wisconsin 64, 70, 154-155 

Chagres fever, notification of {see also Malaria) 


167 


Charbon. See Anthrax. 

Chicken pox, notification of: Page. 

California 111-112 

District of Columbia 

Hawaii 20-21, 69, 118-119 

Idaho 21-22,69 

Indiana 24, 69 

Massachusetts 31-32, 69 

Nebraska 37-38, 70 

New Jersey 40, 70, 136-137 

Oklahoma 47,70 

Pennsylvania 51, 70, 144-145 

Tennessee 56 

Utah : 58,70,150 

Virginia 60, 70 

Washington 61-62, 70 

Wisconsin 64, 70, 154-155 

Cholera (Asiatic), notification of: 

Alabama 11,69,110 

California 13,14,69,111-112 

Colorado 15,69,113-114 

Connecticut 16, 69, 114 

District of Columbia 17-18, 69, 115-116 

Florida 18-19,69,117 

Georgia 20, 69, 118 

Hawaii 20-21, 69, 118-119 

Idaho 21-22,69,120 

Illinois 22,23,69 

Indiana 24, 69 

Iowa 25, 69 

Kansas 25-26,69,124 

Kentucky 26-27,69,124-125 

Louisiana 27-28 

Maine 28-29,69,126 

Massachusetts 31-32, 69 

Michigan 32, 69, 129-130 

Mississippi 35, 70, 133 

Missouri 36 

Montana 37, 70, 133-134 

Nebraska 37-38,70,134 

New Hampshire 39, 70, 134 

New Jersey 40, 70, 136-137 

New York 42-43, 70, 139 

North Carolina 44, 70, 140-141 

Ohio 47,70,143 

Oregon 49^70 

Pennsylvania 51^ 70, 144-145 

Porto Rico 52,70,146 

South Dakota 55 79 

Tennessee 56,70,148-149 

Texas 57,70,149-150 

Utah 58,70,150 

Vermont 59,151 

Virginia 60, 70, 152 

Washington 61-62, 70, 152-153 


168 


Cholera (Asiatic), notification of — Continued. Page 

West Virginia 63, 70, 154 

Wisconsin 64, 70, 154-155 

Wyoming 65, 70, 155-156 

Cities: 

Boards of health of. See Boards of health, municipal, and health authori- 
ties, municipal. 

Extraterritorial jurisdiction of health authorities — 

Arkansas 12,66 

Illinois 22,67 

Tennessee 56,68 

Clergymen, reports by, California 14, 112 

Commissioners of county, reports to, Alabama 110 

Commissioner on domestic animals, reports to, Connecticut 16, 115 

Commissioners of health: 

County — 

Indiana 23,100 

Municipal — 

Missouri 36,102 

Nebraska 37, 102 

New York 42, 103 

State and Territorial — 

Arkansas 12 

Indiana 23,100 

New York 42,103 

Oklahoma 47,103 

Pennsylvania 50, 104 

Rhode Island 53, 104 

Virginia 59,106 

Wa.shington 60,106 

Commissioner of labor, reports to, Michigan 33, 132 

Commissioner of labor statistics, reports to, ('alifornia •. 14, 113 

Committee of public health. County, Alabama 11 

Compressed-air illness. See Occupation diseases. 

Consumption. See Tuberculosis. 

Conjunctivitis, follicular, notification of, Hawaii 20-21, 118-119 

Coroner, reports by, California 14, 111 

Council (city), reports to, Alabama ]10 

Counties, boards of health of. See Boards of health, county. 

County health authorities. See Health authorities, county. 

Court decisions having a bearing on the notification of sickness: 

Connecticut 158 

Iowa 157 

Michigan 157 

Cuban itch 61 

Cutaneous syphilis. See Syphilis. 

Dairy premises, reports of sickness on, New Jersey 40, 67-68, 136 

Dengue, notification of: 

California 13, 14, 69, 111-112 

Hawaii 20-21, 69, 118-119 

Louisiana 27-28, 69 

Mississippi 35,70,133 

Texas 57,70,149-150 

Dentists, reports by, Delaware 17, 115 


169 


Departments of health: 

Municipal — 

Indiana 

Missouri 

State and Territorial — 

Maryland 

Mississippi 

New York 

Pennsylvania 

Deputy sheriffs, reports by, Hawaii 
Diphtheria, notification of: 

Alabama 

Arizona 

California 

Colorado 

Connecticut 

District of Columbia 

Florida 

Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 

Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 

Maryland 

Massachusetts 

Michigan 

Minnesota 

Missouri 

Montana 

Nebraska 

New Hampshire 

New Jersey 

New York 

North Carolina 

North Dakota 

Ohio 

Oregon 

Pennsylvania 

Porto Rico 

South Carolina 

South Dakota 

Tennessee 

Texas 

Utah 

Virginia 

• Washington 

West Virginia 

Wisconsin 

Wyoming 


Page. 


23 

36,102 

29 

35,101 

42,103 

50,104 

119 

11 , 69,110 

12,111 

13 , 14 , 69 , 111-112 
.. 15 , 69 , 113-114 

16 , 69,114 

... 17 - 18 , 69,116 

19,69 

20 , 69,118 

20 - 21 , 69 , 118-119 

21 - 22 , 69 , 119-120 

22 , 23,69 

24 , 69,122 

25,69 

... 25 - 26 , 69,124 
... 26 - 27 , 69,125 

27-28 

... 28 - 29 , 69,126 
... 29 - 30 , 69,127 

31 - 32 , 69 , 128-129 

32 - 33 , 69 , 129-130 

34 - 35,69 

36 

.. 37 , 70 , 133-134 
.... 37 - 38 , 70,134 

39 , 70,134 

... 40 , 70 , 136-137 

42 - 43,70 

... 44 , 70 , 140-141 

46,142 

47 , 70,143 

49,70 

... 51 , 70 , 144-145 

52 , 70,146 

54,70 

55,70 

... 56 , 70 , 148-149 
... 57 , 70 , 149-150 

58 , 70,150 

60,70 

61 - 62 , 70 , 152-153 

63 , 70,154 

... 64 , 70 , 154-155 
... 65 , 70 , 155-156 


170 


Diseases, notifiable: 

Householders to report — 

Alabama 

California 

Colorado 

District of Columbia. 

Florida 

Georgia 

Hawaii 

Idaho 

Indiana 

Iowa 

Kansas 

Kentucky 

Maine 

Maryland 

Massachusetts 

Michigan 

Missouri 

Montana 

Nebraska 

New Hampshire 

New Jersey 

New Mexico 

North Carolina 

North Dakota 

Ohio 

Oregon 

Khode Island 

South Dakota 

Tennessee 

Texas 

Vermont 

Washington 

Wisconsin 

Wyoming 

Institutions to report — 

Connecticut 

District of Columbia 

Hawaii 

Kansas 

Maine 

Maryland 

Michigan 

New Hampshire 

New Jersey 

New York 

North Dakota 

Oklahoma 

Oregon 

Pennsylvania 

Rhode Island 

Utah 

Wisconsin 


Page. 

110 

14 

--- 15,113 
17 - 18, 116 

19 

20 

... 21,118 
21 - 22, 120 

24 

25 

... 26,124 

26 

... 28,126 
... 30,127 
... 31,128 
... 33,129 
.. 133-134 

37 

38 

39 

40 , 136-137 
... 41,138 
... 44,140 
... 45,142 
... 47,143 
49 

.:. 53,147 
55 

... 56,148 
... 57,149 
... 59,151 
62 

... 64,155 
65 

... 16,115 
.... 117 

... 21,119 
... 26,124 
... 29,126 
... 30,128 
... 33,130 
... 39,135 
... 40,138 
... 43,139 
45 

48 

49 
51 

... 53,146 
58 , 150, 151 
. .. 64,155 


171 


Diseases, notifiable — Continued. 

Local authorities to report to State health authoritieS- 

Alabama 

Arizona 

California 

Colorado 

Connecticut 

Delaware 

Georgia 

Idaho 

Illinois 

Indiana 

Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 

Maryland 

Massachusetts 

Michigan 

Minnesota 

Missouri 

Montana 

Nebraska 

New Hampshire 

New Jersey 

New York 

North Carolina 

North Dakota 

Ohio 

Oklahoma 

Oregon 

Pennsylvania 

Porto Kico 

South Carolina 

South Dakota 

Tennessee 

Texas 

Utah 

Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 

Nurses and midwives to report — 

Alabama 

California 

Connecticut 

District of Columbia 

Idaho 

Illinois 

Indiana 

Iowa 


Page. 

11,109 

.. 12 , 110,111 
.. 14 , 111,112 

15,114 

.. 16 , 114,115 

17,115 

20,118 

22 

23 

24 

25 

26,124 

27,124 

28,125 

29,126 

. 30,127 

32 

... 33 - 34,130 

35,132 

36 

37,133 

38,134 

39,134 

41 

43,139 

44,140 

45 - 46 , 141 , 142 

47,143 

48,144 

49,144 

51,145 

52,146 

54,147 

55,148 

56,148 

57,149 

58,150 

59,151 

60,152 

.. 62 , 152,153 

63,154 

64,154 

65,155 

11,110 

14,112 

16,114 

18 

22,119 

23,120 

24,122 

25,123 


172 


Diseases, notifiable — Continued. 

Nurses and midwives to report — Continued. Page. 

Louisiana 28, 125 

Maine 29, 126 

Maryland 30, 127 

Massachusetts 31, 128 

Michigan 33, 1.30 

Minnesota 35 

New Jersey 41, 135 

Ohio 47,143 

Pennsylvania 52, 144 

Rhode Island 53, 147 

South Carolina 54, 147 

Tennessee 56, 149 

Texas 57, 149 

Utah 58,150 

Vermont 59 

Wisconsin 64,154 

Physicians to report — 

Alabama 11,109-110 

Arizona 12,110 

California 14,111,112,113 

Colorado 15,113 

Connecticut 16,114,115 

Delaware 17, 115 

District of Columbia 17, 116, 117 

Florida 18-19,117 

Georgia 20,117 

Hawaii 20,118,119 

Idaho 21-22,120 

Illinois 22-23,121 

Indiana 24,122 

Iowa 25 

Kansas 25-26, 124 

Kentucky , 26,124 

Ijouisiana 27 

Maine 28, 126 

Maryland 29-30,127,128 

Massachusetts 31 -32, 129 

Michigan 32-33, 129-130, 131, 132 

Minnesota 34 

Mississippi 35-36, 133 

Missouri 134 

Montana ' 37 

Nebraska 37-38, 134 

New Hampshire 39,134,135 

New Jersey 40, 136, 138 

New Mexico 41,138 

New York 43,139,140,156 

North Carolina 44, 140 

North Dakota 45, 141, 142 

Ohio 47, 143 

Oklahoma 48, 144 


173 


Diseasesi, notifiable — Continued. 

Physicians to report — Continued. 

Oregon 

Pennsylvania 

Porto Rico 

Rhode Island 

South Carolina 

South Dakota 

Tennessee 

Texas 

Utah 

Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 

Diseases of animals, notification of, Porto Rico 
Dispensaries. See Institutions. 

Districts, sanitary; 

Massachusetts 

Pennsylvania 

Porto Rico 

South Carolina 

Utah 

Dobe itch 

Dysentery, notification of; 

California 

Hawaii 

Louisiana 

New Jersey 

Pennsylvania 

Porto Rico 

Texas 

Dysentery, amoebic, notification of, Hawaii . . . 

Egyptian itch 

Enteric fever. See Typhoid fever. 

Epidemic parotitis. See Mumps. 

Epidemic poliomyelitis. See Poliomyelitis. 
Erysipelas, notification of ; 

California 

Michigan 

Pennsylvania 

Wisconsin 

Farcy. See Glanders. 

Favus, notification of, Washington 

Fees paid for notification of disease ; 

California 

Michigan 

New Jersey 

New York 

North Carolina 

North Dakota 


Page. 
... 49,144 
51 , 144-145 
... 52,146 

53 . 146. 147 

54 . 147. 148 
... 55,148 
... 56,148 
... 57,149 
58 , 150, 151 
... 59,151 
... 60,152 

61 - 62,153 
... 63,154 
64 , 154, 155 
... 65,156 
146 


31 

50 

52 

54 

57-58 

61 


13 , 14 , 69 , 111-112 
.. 20 - 21 , 118-119 

27-28 

.. 40 - 41 , 136-137 
.. 51 , 70 , 14^145 

52 , 70,146 

.. 57 , 70 , 149-150 

20,21 

61 


13 , 14 , 69 , 111-112 

32-33 

.. 51 , 70 , 144-145 
.. 64 , 70 , 154-155 

....... 61 - 62,70 

14 , 66,113 

...... 33 , 67,130 

68,137 

43 , 68,139 

141 

.......... 143 


174 


Fever; 

cerebrospinal. See Cerebrospinal meningitis. Page. 

malaria. See Malaria. 

relapsing. See Relapsing fever. 

scarlet. See Scarlet fever. 

typhoid. See Typhoid fever. 

typhus. See Typhus fever. 

yellow. See Yellow fever. 

German measles, notification of : 

California 13, 14, 69, 111-112 

Idaho 21,69 

Pennsylvania _ 51, 70, 144—145 

Utah .* 58,150 

Wisconsin 64, 154-155 

Glanders, notification of: 

Alabama 11,69,110 

California 13, 14, 69, 111-112 

District of Columbia 17-18, 69, 115-116 

Illinois 22,23,69 

Louisiana 27-28 

Massachusetts 31-32,69 

New Jersey 40, 70, 136-137 

Pennsylvania 51, 70, 144-145 

Porto Rico 52, 70, 146 

Gonococcus infection, notification of: 

California 13,14,66,69,111-112 

Utah 58,151 

See also Venereal diseases and Ophthalmia neonatorum. 

Gonorrhea, notification of: 

California 13, 14, 69, 111-112 

Utah 58,151 

See also Gonococcus infection and Venereal disease. 

Health authorities: 

County — 

Alabama 11, 66, 98 

Arizona 12, 98 

Arkansas 12,98 

California 13,98 

Colorado 15,98 

Connecticut _ 15,66,98 

Delaware 17, 66, 99 

Florida 18,99 

Georgia 19, 99 

Idaho 21,99 

Illinois 22, 100 

Indiana 23, 100 

Kansas 25, 100 

Kentucky 26, 100 

Louisiana 27, 100 

Maryland 29,101 

Minnesota 

Mississippi 

Missouri 

Montana 1^2 


175 


Health aiithori ties — Continued . 
County — Continued. 

Nebraska 

Nevada 

New ^lexico 

North Carolina 

North Dakota 

Oklahoma 

Oregon 

Pennsylvania 

South Dakota 

Tennessee 

Texas 

Utah 

Virginia 

Washington 

West Virginia 

Wyoming 

District — 

Massachusetts 

Pennsylvania 

Porto Rico 

Municipal— 

Alabama. .• 

Arizona 

Arkansas 

California 

Colorado 

Connecticut 

Delaware 

District of Columbia . . 

Florida 

Georgia 

Idaho 

Illinois 

Indiana 

Iowa 

Kentucky 

Louisiana 

Maine 

Massachusetts 

Michigan 

Minnesota 

Mississippi 

Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 

New Jersey 

New Mexico 

New York 

North Carolina 

Ndrth Dakota 


Page. 
.. 37,102 
.. 38,102 
.. 41,102 
.. 44,103 
.. 44,103 
.. 47,103 
.. 49,104 
50,104 
.. 55,105 
.. 55,105 
.. 57,105 
.. 57,105 
.. 5^,106 
.. 61,106 
.. 63,106 
.. 64,106 

31 

50 

52 

11 , 66 , 98 
... 12,98 

12 , 66 , 98 
... 13,98 
... 15,98 
... 15,98 
... 17,99 

17 

... 18,99 
... 19,99 
... 21,99 
22 , 67, 100 
23 - 24, 100 
.. 25,100 
-- 26,100 
.. 27,100 
-. 28,101 
-. 31,101 
.. 32,101 
-. 34,101 
.. 35,101 
.. 36,102 
.. 37,102 
... 37,102 
... 38,102 
. .. 39,102 
. .. 40,102 
... 41,102 
42 , 68, 103 
. 44,103 
... 45,108 


176 


Health authorities — Continued. 

Municipal — Continued . 

Ohio 

Oklahoma 

Oregon 

Pennsylvania 

Porto Rico 

Rhode Island 

South Carolina 

South Dakota 

Tennessee 

Texas 

Utah 

Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

State and Territorial — 

Alabama 

Alaska 

Arizona 

Arkansas 

California 

Colorado 

Connecticut 

Delaware 

District of Columbia. . 

Florida 

Georgia 

Hawaii 

Idaho 

Illinois 

Indiana 

Iowa 

Kansas 

Kentucky 

Louisiana 

Maine 

Maryland 

Massachusetts 

Michigan 

Minnesota 

Mississippi 

Missouri 

Montana 

Nebraska 

Nevada 

New Hampshire 

New Jersey 

New Mexico 

New York 

North Carolina 

North Dakota 


Page. 

.. 46,103 
.. 48,103 
.. 49,104 
.. 50,104 
52 
53,104 
.. 54,104 
.. 55,105 
56 , 68, 105 
.. 57,105 
.. 58,105 
59 

.. 59,106 
.. 61,106 
.. 63,106 
.. 63,106 

11 , 66 , 98 
98 

... 12,98 
.... 12,98 
.... 13,98 
.... 15,98 
.... 15,98 
.... 16,99 
.... 17,99 
.... 18,99 
.... 19,99 
.... 20,99 
.... 21,99 
... 22,100 
... 23,100 
... 24,100 
... 25,100 
... 26,100 
... 27,100 
... 28,101 
... 29,101 
... 31,101 
... 32,101 
... 34,101 
... 35,101 
... 36,102 
... 36,102 
. .. 37,102 
... 38,102 
... 38,102 
... 40,102 
... 41,102 
... 42,103 
43,103 
... 44,103 


177 


Health authorities — Continued. 

State and Territorial — Continued. 

Ohio 

Oklahoma 

Oregon 

Pennsylvania 

Porto Rico 

Rhode Island 

South Carolina 

South Dakota 

Tennessee 

Texas 

Utah 

Vermont 

Virginia 

Washington 

West Virginia 

Wisconsin 

Wyoming 

Township (town) — 

Connecticut 

Illinois 

Iowa 

Maine 

Massachusetts 

Michigan 

Minnesota 

New Hampshire 

New Jersey 

New York 

North Carolina 

North Dakota 

Ohio 

Oklahoma 

Pennsylvania 

Rhode Island 

Vermont 

Wisconsin 

Health districts. See Districts, sanitary. 

Health officers: 

County — 

Alabama 

California 

Colorado 

Connecticut 

Delaware 

Georgia 

Illinois 

Kansas 

Louisiana 

Maryland 

Minnesota 

Mississippi 

Montana 

93321°— 11 12 


Page. 

46. 103 

47. 103 

49. 104 

50. 104 

52. 104 

52. 104 

54. 104 

55. 105 

55. 105 

56. 105 

57. 105 

59. 105 

59. 106 

60. 106 
63, 106 

63. 106 

64. 106 

15,98 
22, 100 

25. 100 

28. 101 

31. 101 

32. 101 

34. 101 

39. 102 

40. 102 

42. 103 

44. 103 

45. 103 

46. 103 

47. 103 

50. 104 

53. 104 

59. 105 

63. 106 


... 11,98 
... 13,98 
... 15,98 
... 15,98 
... 17,99 
... 19,99 
.. 22,100 
-. 25,100 
.. 27,100 
-- 29,101 
34 

-- 35,101 
36 - 37, 102 


Page, 


Health officers — Continued, 
County — Continued , 


New Mexico 41, 102 

Oregon 49 

Tennessee 55, 105 

Texas 57, 105 

Virginia 60 

Washington 61, 106 

West Virginia 63, 106 

Wyoming 64, 106 

Municipal — 

Alabama 98 

Arizona 12, 98 

California 13, 98 

Colorado 15, 98 

Connecticut 15, 98 

Florida 18,99 

Georgia 19, 99 

Indiana 24 

Iowa 25, 100 

Kentucky 26, 100 

Louisiana - 27 

Minnesota 84, 101 

New York 42, 103 

North Carolina 44, 103 

North Dakota 45, 103 

Ohio 16,103 

Oregon 49, 104 

South Carolina 54, 104 

Texas 195 

Utah 58 

Virginia 59-60, 106 

Washington 61, 106 

West Virginia 63, 106 

Wisconsin 63, 106 


State and Territorial — 

Alabama 

District of Columbia 

Florida 

Montana 

North Carolina 

Oregon 

South Carolina 

Texas 

Health officer, may be removed from office, Washington 

Hookworm disease. See Uncinariasis. 

Hospitals. See Institutions. 

Householders, reports by. See Diseases, notifiable, householders to report. 
Hydrophobia. See Rabies. 

Industrial diseases. See Occupation diseases. 

Infants. See Ophthalmia neonatorum. 

Infectious poliomyelitis. See Poliomyelitis. 


11, 98 

17, 99 

18, 99 

36. 102 

43. 103 

49. 104 

54. 105 

56. 105 
68 


179 


Page. 

Inspectors of health, State, Massachusetts 

Institutions, reports by. See Diseases, notifiable, institutions to report. 

Intendant, reports to, Alabama ^ 

Jail physicians, Tennessee 

Japanese itch 

Justice of the peace, reports to. New Mexico 41, 138 

Kangaroo itch 

Lead chromate. See Occupation diseases. 

Lead, poisoning by. See Occupation diseases. 

Lead, smelting of. See Occupation diseases. 

Leprosy, notification of : 

Alabama 11, 69, 110 

California 13, 14, 69, 111-112 

Connecticut 16, 69, 114 

District of Columbia 17-18, 69, 115-116 

Florida 19, 69 

Hawaii 20-21, 69, 118-119 

Idaho 21-22,69 

Illinois 22, 23, 69 

Indiana 24, 69 

Iowa 25, 69 

Louisiana 27-28 

Maryland 30, 128 

Massachusetts 31-32, 69 

Michigan 32-33 

Missouri 36 

Nebraska 37-38,70 

New Jersey 40, 70, 136-137 

New York 42-43, 70 

Oregon 49, 70 

Pennsylvania 51, 70, 144-145 

Porto Rico 52, 70, 146 

South Carolina 54, 70 

Utah 58,70,150 

Washington 61-62, 70, 152-153 

Wisconsin 64, 70 

License of physicians may be canceled or revoked, Utah 68 

Litharge. See Occupation diseases. 

Local authorities, reports by. See Diseases, notifiable, local authorities to 
report. 

Lockjaw. See Tetanus. 

Malaria, notification of: 

California 14, 112 

New Jersey 40, 70, 136-137 

Pennsylvania 51, 70, 144-145 

Porto Rico 52,70,146 

See also Chagres fever. 

Malignant pustule. See Anthrax. 

Manila itch 

Masters of vessels, reports by, Hawaii 21, 118 

Mayor, reports to: 

Alabama HO 

Iowa 67 


180 


Measles, notification of: 

California 

Connecticut 

District of Columbia 

Hawaii 

Idaho 

Indiana 

Louisiana 

Maine 

Maryland 

Massachusetts 

Michigan 

Minnesota 

Montana 

Nebraska 

New Hampshire 

New York 

North Carolina 

Ohio 

Oregon 

Pennsylvania 

South Carolina 

South Dakota 

Tennessee 

Utah 

Virginia 

Washington 

Wisconsin 


Page. 

13, 14, 69, 111-112 

16 

... 17-18,69,116 
20-21, 69, 118-119 

21-22,69 

24,69,122 

27-28 

... 28-29,69,126 
... 29-30,69,127 

31-32,69 

32-33,69 

34-35,70 

.. 37,70,133-134 

37-38,70 

39,70,134 

42,70 

.. 44,70,140-141 

47,70 

49,70 

.. 51,70,144-145 

54,70 

55,70 

56 

58,70,150 

60,70 

61-62,70 

.. 64,70,154-155 


Membranous croup. See Diphtheria. 

Mercury, poisoning by. See Occupation diseases. 

Midwives, reports by. See Diseases, notifiable, nurses and midwives to report. 
Morbidity reports: 


Collection of 


6-7,9 


Necessity of 5-6, 9 

Regulation of 6-7 

Relation of physicians to 7-8 

Relation to epidemiological studies 5, 9 

When made 10 


See also Notifiable diseases. 


Morbilli. See Measles. 


Mumps, notification of: 

California 

Maryland 

Pennsylvania 

Porto Rico 

Municipalities, boards of health of. 

Health authorities, municipal. 

Newport, R. I ; - - - 

New York City 

Notifiable diseases: 

Alabama 

Arizona 

Arkansas 

California 


13,14,69,111-112 

30,69,127 

51,70,144-145 

52,70,146 

See Boards of health, municipal, and 


53 

139-140 

. 11,69,72,74, 110 

12,72,74 

74 

13, 66, 69, 72, 74-75 


181 


Notifiable diseases — Continued. Page. 

Colorado 

Connecticut 75—76, 114 

Delaware 

District of Columbia 17, 69, 72, 76-77, 115-116 

Florida 18—19,66,69,72,77,117 

Georgia 20,69,72,77,118 

Hawaii 20, 69, 72, 78, 118 

Idaho 21, 69, 72, 78, 119-120 

Illinois 22-23, 69, 72, 79 

Indiana 24, 69, 72, 79, 122 

Iowa 25, 67, 69, 72, 79-80, 123 

Kansas 25-26, 69, 72, 80, 124 

Kentucky 26,67,69,72,80,124 

Louisiana 27,28,69,72,80-81 

Maine 28-29, 69, 72, 81, 126 

Maryland 29-30, 69, 72, 82-83, 127 

Massachusetts 31, 69, 72, 83, 128-129 

Michigan 32,67,69,72,83-84,129 

Minnesota 34-35, 70, 72, 84 

Mississippi 35-36, 67, 70, 72, 84, 133 

Missouri 36, 67, 70, 72, 84, 133 

Montana 37,70,72,85 

Nebraska 37-38, 70, 72, 85, 134 

Nevada 38, 70, 72 

New Hampshire 39,70,72,85,134 

New Jersey 40, 67-68, 70, 72, 86, 136 

New Mexico 41, 70, 72, 86, 138 

New York 42, 70, 72, 86-87, 139, 156 

North Carolina 44,70,72,87,140 

North Dakota 45, 70, 72, 87, 89, 141 

Ohio 47,70,73,89,143 

Oklahoma 48,70,73,89,144 

Oregon 49, 70, 73, 90, 144 

Pennsylvania 51, 70, 73, 90-91, 144-145 

Porto Rico 52,70,73,91,146 

Rhode Island 53, 70, 73, 91, 146-147 

South Carolina 54, 70, 73, 92, 147 

South Dakota 55, 70, 73, 92, 148 

Tennessee 56,70,73,92-93,148 

Texas 57,70,73,93,149 

Utah 58,70,73,93-94,150 

Vermont 59, 70, 73, 94, 151 

Virginia 60, 70, 73, 95, 152 

Washington. 61, 70, 73, 95-96, 152 

West Virginia 63,70,73,96,154 

Wisconsin 64,70,73,96,154,155 

Wyoming. . 65, 70, 73, 96-97, 156 

Nurses, reports by. See Diseases, notifiable, nurses and midwives to report. 

Occupation diseases, notification of; 

Califoi^^^ 113 

23,121 

Michigan 33,132 

New York 156 


182 


Ophthalmia neonatorum, notification of: Page, 

Connecticut 16, 69, 114 

District of Columbia 18, 69 

Idaho 22,69,119-120 

Illinois 23,69,120 

Indiana 24,69,122 

Iowa 25,69,123 

Louisiana 28, 69, 125 

Maine 29, 69, 126 

Maryland 30, 69, 127 

Massachusetts 31-32, 69, 128-129 

Michigan 33,69,130 

Minnesota 35,70 

Nebraska 37-38, 70 

New Jersey 41, 70, 135 

New York 42-43,70 

North Dakota 45,70,143 

Ohio 47,70,143 

Oregon 49, 70 

Pennsylvania 52, 70, 144 

Rhode Island 53, 70, 147 

South Carolina 54, 70, 147 

Tennessee 56,70,149 

Texas 57,70,149-150 

Utah 58,70,150 

Vermont 59,70 

Wisconsin 64,70,154-155 

Paratyphoid fever, notification of, Hawaii 20-21, 118-119 

Paris green. See Occupation diseases. 

Parishes. See Counties. 

Parotiditis. See Mumps. 

Parotitis. Mumps. 

Pellagra, notification of: 

California 13-14,111-112 

New York . 42-43 

Pennsylvania 51 

Tennessee 56 

Washington 61-62 

Penalty for failure to report cases of sickness: 

Alabama 110 

California 112-113 

Colorado 113-114 

Connecticut 114 

Florida 117 

Georgia 117 

Hawaii 118-119 

Idaho 119-120 

Illinois 120-121 

Indiana 122-123 

Iowa 123 

Kentucky 125 

Maine 12^ 

Maryland 127-128 

Massachusetts 129 


183 


Penalty for failure to report cases of sickness — -Continued. 

^lichifjan 

Mississippi 

Nebraska 

New Hampshire 

New Jersey 

New Mexico 

New York 

North Carolina 

North Dakota 

Ohio 

Oklahoma 

Pennsylvania 

Rhode Island 

South Carolina 

South Dakota 

Tennessee 

Texas 

Utah 


Vermont 151 

Virginia 152 

Washington 153-154 

Wisconsin 154-155 

Wyoming 156 

Pertussis, See Whooping cough. 

Philippine itch 61 

Phosphorus, poisoning by. See Occupation diseases. 

Physicians: 

License may be canceled or revoked, Utah 68 

Reports by. Sef'. Diseases, notifiable, physicians to report. 

Plague, notification of: 

Alabama 11, 110 

California 13, 14, 111-112 

District of Columbia 17-18,115-116 

Hawaii 20-21,118-119 

Idaho 21-22,120 

Illinois 22, 23 

Indiana 24 

Iowa 25 

Louisiana 27-28 

Missouri 36 

Montana 37, 133-134 

New Jersey 40,136-137 

New York 42-A3 , 139 

North Carolina 44, 140-141 

Ohio 47,143 

Oregon 49 

Pennsylvania 51^ 144-145 

Porto Rico 52,146 

Tennessee 56, 148-149 

Texas * 57,149-150 

Utah 58,150 

Virginia 60, 152 

Washington 61-62, 152-153 

Wisconsin 64, 154-155 


Page. 
129, 131-132 

133 

134 

. ... 134-135 
... 136-137 

138 

140 

141 

143 

143 

144 

146 

147 

... 147-148 

148 

149 

150 

... 150-151 


184 


Pneumonia, notification of: 

California 

Louisiana 

Michigan 

New York 

Pennsylvania 

Utah 

Police officers to report, Hawaii. . . 
Poliomyelitis, notification of: 

California 

District of Columbia 

Hawaii 

Idaho 

Maine 

Massachusetts 

Minnesota 

New Jersey 

New York 

Ohio 

Oregon 

Pennsylvania 

Rhode Island 

South Carolina 

South Dakota 

Tennessee 

Utah 

Washington 

Wisconsin...- 

Probate judge, reports to, Alabama 
Providence, R. I 


Page. 
13-14, 111-112 

27-28 

32-33 

42-43 

.. 51,144-145 

58,150 

21,118 


13, 14, 111-112 

18 

20-21, 118-119 

21-22 

28-29 

31-32 

34-35 

.. 40,136-137 

42-43 

47 

49 

51 

53,147 

54 

55 

56 

58,150 

61-62 

64 

110 

53 


Public health, county committee of. See Committee of public health. 


Public Health and Marine-Hospital Service, reports to 67 

Puerperal fever, notification of: 

Nebraska 37-38 

Pennsylvania 51,144-145 

Quarantine officer, reports by and to. North Carolina 44, 140-141 

Rabies, notification of: 

Alabama 11,110 

California 13, 14, 111-112 

Connecticut 16, 115 

Louisiana 27-28 

Michigan 32-33 

New Jersey 40, 136-137 

New York 42-43 

Pennsylvania 51,144-145 

Railroad conductors, reports by: 

Colorado 113 


Railroad officials, reports by: 
Colorado 


113 


Recovery of patients to be reported: 

District of Columbia 

Tuberculosis — 

Hawaii 

Michigan 


18 

20-21, 119 
33, 67, 131 


185 


Recovery of patients to be reported — Continued. Pago. 

T uberculosis — Continued . 

New llampshire 

New York 

Red lead. See Occupation diseases. 

Relapsing fever, notification of: 

Pennsylvania filj 144-145 

Louisiana 27,28 

Rocky Mountain (spotted) fever, notification of: 

Montana 37, 133-134 

Rdtheln. See German measles. 

Rubella. See German measles. 

Rubeola. See Measles. 

Sacramento, Cal 13 

St. Louis, Mo 36 

San Francisco, Cal 13 

Sanitary agents. See Agents. 

Sanitary districts: 

Porto Rico 52 

Utah 57-58 

Sanitary police agents: 

Porto Rico 52 

Sanitary statistics: 

Mississippi 132-133 

Sanitary zones: 

Porto Rico 52 

Sanitation, director of: 

Porto Rico 52 

Scarlet fever, notification of: 

Alabama 11,110 

Arizona 12, 111 

California 13,14,111-112 

Colorado 15,113-114 

Connecticut 16,114 

District of Columbia 17-18, 116 

Florida 19 

Georgia 20,118 

Hawaii 20-21,118-119 

Idaho 21-22,119-120 

Illinois 22,23 

Indiana 24,122 

Iowa 25 

Kansas 25-26,124 

Kentucky 26-27,124-125 

Louisiana 27-28 

Maine 28-29, 126 

Maryland 29-30,127 

Massachusetts 31-32 128-129 

Michigan 32-33,129-130 

Minnesota 34—35 

Missouri 

Montana 37,133-134 

Nebraska 37-38, 134 

New Hampshire 39, 134 


186 


Scarlet fever, notification of — Continued. Page. 

New Jersey 40,136-137 

New York 42-43 

North Carolina 44,140-141 

North Dakota 46,142 

Ohio 47,143 

Oregon 49 

Pennsyh ania 51, 144-145 

Porto Rico 52, 146 

South Carolina 54 

South Dakota 55 

Tennessee 56, 148-149 

Texas 57,149-150 

Utah 58,150 

Virginia 60 

Washington 61-62, 152-153 

West Virginia 63,154 

Wisconsin 64, 154-155 

Wyoming 65, 155-156 

Selectmen of town, reports to. New Hampshire 134, 135 

Scarlatina. See Scarlet fever. 

Shreveport, La 27 

Sickness, reports of. See Morbidity reports. 

Sickness on trains, reports of, Colorado 113 

Smallpox, notification of: 

Alabama 11, 110 

Arizona 12, 111 

California 13, 14, 111-112 

Colorado 15,113-114 

Connecticut 16, 114 

District of Columbia 17-18, 115-116 

Florida 18-19,117 

Georgia 20, 117, 118 

Hawaii 20-21,118-119 

Idaho 21-22,119-120 

Illinois 22, 23 

Indiana 24, 122 

Iowa 25 

Kansas 25-26, 124 

Kentucky 26-27,124-125 

Louisiana 27-28 

Maine 28-29,126 

Maryland 29-30,127 

Massachusetts 31-32, 128-129 

Michigan 32-33,129-130 

Minnesota 34-35 

Mississippi 35, 133 

Missouri 36 

Montana 37, 133-134 

Nebraska 37-38, 134 

New Hampshire 39,134-135 

New Jersey 40, 136-137 

New Mexico 41, 138 

New York 42-43, 139 


187 


Smallpox, notification of— Continued. Page. 

North Carolina 44, 140-141 

North Dakota 46, 142 

Ohio 47,143 

Oregon 49 

Pennsylvania 51, 144-145 

Porto Rico 52,146 

Rhode Island 53, 147 

South Carolina 54 

South Dakota 55 

Tennessee 56, 148-149 

Texas 57,149-150 

Utah 58,150 

Vermont 59, 151 

Virginia 60, 152 

Washington 61-62, 152-153 

West Virginia 63, 154 

Wisconsin 64, 154—155 

Wyoming 65,155-156 

Splenic fever. See Anthrax. 

Spotted fever. See Cerebrospinal meningitis. 

State board of charity, reports to, Massachusetts 129 


State boards of health. See Boards of health. State and Territorial. 
Sugar of lead. See Occupation diseases. 

Superintendents of health : 


County — 

Arizona 12,98 

North Carolina 44 ^ 103 

North Dakota 44 ^ 103 

Oklahoma 47 ^ 103 

South Dakota 55 ^ 105 

Municipal — 

Oklahoma 48 ^ 103 

Pennsylvania ; 5 q 


State and Territorial — 


Arizona 

North Dakota 

South Dakota 

Syphilis, notification of : 

California 

Porto Rico 

Utah 

Telegraph, reports to be made by: 

California 

Colorado 

Florida 

North Carolina 

Texas 

Utah 

Wyoming 

Telephone, reports to be made by: 
Colorado 

T exas 


12,98 

44 

55 

13, 14, 66, 111-112 

52,146 

58,151 

14 

113 

18,66,117 

44 

57 

58,68 

65,156 

113 

20,118 

57,149 


188 


Telephone, reports to be made by — Continued. Page. 

Utah 58,68 

Wyoming 65, 156 

Termination of sickness, to be reported. District of Columbia 18, 116 

Tetanus, notification of; 

California 13, 14, 111-112 

Hawaii 20-21, 118-119 

Massachusetts 31-32 

Michigan 32-33 

New York 42-43 

Pennsylvania 51, 114-145 

Tick fever. See Rocky Mountain (spotted) fever. 

Township, boards of health of. See Boards of health, township. 

Trachoma, notification of: 

California 13, 14, 111-112 

Hawaii 20-21,118-119 

Massachusetts 31-32 

New Jersey 40, 136-137 

Ohio 47,73,89 

Pennsylvania 51, 144-145 

Texas 57,149-150 

Washington 61-62 

Trichiniasis, notification of : 

Massachusetts 31-32 

New Jersey 40, 136-137 

Pennsylvania 51, 114-145 

Trichinosis. See Trichiniasis. 

Tuberculosis, notification of; 

Alabama 11,110 

California 13, 14, 111-112 

Connecticut 16, 115 

District of Columbia 17-18, 117 

Hawaii 20-21, 119 

Indiana 24 

Kansas 26, 124 

Louisiana 27-28 

Maine 28-29, 126 

Maryland 29-30, 128 

Massachusetts 31-32 

Michigan 32-33, 130-131 

Minnesota 34-35 

Mississippi 35-36, 133 

Nebraska 37-38 

New Hampshire 39, 135 

New Jersey 40, 136-138 

New York 42-43, 139-140 

Oklahoma 48 

Oregon 49 

Pennsylvania 51, 144-145 

Porto Rico 146 

Rhode Island 53,146-147 

South Carolina ^ 

Tennessee 

Texas 57,149-150 


189 


Tuberculosis, notification of— Continued. 



'I crmoiit gg 

Virginia !!.*.*.*.* 60 

Washington 01 _q 2^ 152-153 

West Virginia 63,154 

Wisconsin 64,'l54ll55 

Tuberculous meningitis, notification of, Rhode Island 53, 147 

Typhoid fever, notification of: 

Alabama 110 

California 13^ 14^ 111-112 

Connecticut 40 444 

District of Columbia 17, 18, 116 

Cfeorgia 20,118 

Hawaii 20-21,118-119 

Idaho 21-22,120 

Indiana 24 

Maine 28-29,126 

Maryland 29-30,127 

Massachusetts 31-32 

Michigan 32-33 

Minnesota 34-35 

Montana 37, 133-134 

Nebraska 37-38, 134 

New Hampshire 39, 134 

New Jersey 40, 136-137 

New Y ork 42-43 

Ohio 47, 143 

Oregon 49 

Pennsylvania 51, 144-145 

Porto Rico 52, 146 

South Carolina 54 

Tennessee 56 

Texas 57,149-150 

Utah 58,150 

Virginia 60 

Washington 61-62, 152-153 

Wisconsin 64, 154-155 

Wyoming 65,155-156 

Typhus fever, notification of : 

Alabama 11, no 

California 13, 14, 111-112 

Connecticut 16, 114 

District of Columbia 17-18, 115-116 

Georgia 20, 118 

Hawaii 20-21,118-119 

Idaho 21-22,120 

Indiana 24 

Louisiana 27-28 

Maine 28-29, 126 

Maryland 29- 30, 127 

Massachusetts 31-32 

Missouri 

Montana 133-134 


r 


ff 


» 

190 

Typhus fever, notification of — Continued. Page. 

Nebraska 37-38, 134 

New Jersey 40, 136-137 

New York 42^3, 139 

North Carolina 44, 140-141 

Ohio 47, 143 

Oregon 49 

Pennsylvania 51, 144-145 

Porto Rico 52, 146 

Tennessee 56, 148-149 

Texas 57,149-150 

Utah 58,150 

Vermont 59, 151 

Virginia 60, 152 

Washington 61-62, 152-153 

Wisconsin 64, 154-155 

Uncinariasis, notification of: 

California 13, 14, 111-112 

Pennsylvania 51 

Porto Rico 52, 146 

Virginia 60 

Washington 61-62 

Varicella. See Chicken pox. 

Variola. See Smallpox. 

Varioloid. See Smallpox. 

Venereal disease, notification of: 

('onnecticut 16 

Utah 58,151 

See also Syphilis, Gonococcus infection, and Ophthalmia neonatorum. 

Veterinary' surgeons, reports by: 

Delaware 17, 115 

Porto Rico 146 

Vital statistics, enforcement of law for collection, Alabama 109 

WTiite lead. See Occupation diseases. 

Whooping cough, notification of: 

California 13, 14, 111-112 

Connecticut 16 

District of Columlna 17-18, 116 

Hawaii 20-21, 118-119 

Idaho 21-22 

Indiana 24 

Maine 28-29, 126 

Maryland 29-30, 127 

Massachusetts 31-32 

Michigan 32-33 

Nebraska 37-38 

New York 42^3 

North Carolina 44, 140-141 

Ohio 47 

Pennsylvania 144-145 

Porto Rico ^2, 146 

South Carolina 64 

Tennessee 66 


191 


Whooping cough, notification of— Continued. Page. 

Utah 58,150 

Washington Gl-62 

Wisconsin 64, 154-155 

Wool sorter’s disease. See Anthrax. 

Yellow fever, notification of: 

Alabama 11,110 

California 13, 14, 111-112 

Connecticut 16, 114 

District of Columbia 17-18, 115-116 

Florida 18-19, 117 

Georgia 20,118 

Hawaii 20-21, 118-119 

Idaho 21-22,120 

Illinois 22-23 

Indiana 24 

Kentucky 26-27,124-125 

Louisiana 27-28 

Maryland 29-30, 127 

Massachusetts 31-32 

Mississippi 35, 133 

Missouri 36 

Montana 37, 133-134 

Nebraska 37-38, 134 

New Jersey 40, 136-137 

New York 42^3, 139 

North Carolina 44, 140-141 

Ohio 

Oregon 49 

Pennsylvania - 51, 144-145 

Porto Rico 52, 146 

Tennessee 56, 148-149 

Texas 57,149-150 

Vermont 59, 151 

Virginia 452 

Washington 61-62, 152-153 

Wisconsin 64,154-155 

Zinc, smelting of. See Occupation diseases. 


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